Brooklyn Community Estates - Brooklyn Nursing Home

General Information

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Federal Provider Number
165594
Provider Name
BROOKLYN COMMUNITY ESTATES
Provider Address
406 NORTH STREET
BROOKLYN, IA 52211
Provider Phone Number
(641) 522-9263
Provider SSA County
780
Provider County Name
Poweshiek
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKLYN COMMUNITY ESTATE, INC.
Date First Approved to Provide Medicare and Medicaid services
2009-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.26364
Reported LPN Staffing Hours per Resident per Day
0.52273
Reported RN Staffing Hours per Resident per Day
0.74432
Reported Licensed Staffing Hours per Resident per Day
1.26705
Reported Total Nurse Staffing Hours per Resident per Day
3.53069
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02273
Expected CNA Staffing Hours per Resident per Day
2.08517
Expected LPN Staffing Hours per Resident per Day
0.53720
Expected RN Staffing Hours per Resident per Day
0.81893
Expected Total Nurse Staffing Hours per Resident per Day
3.44130
Adjusted CNA Staffing Hours per Resident per Day
2.66371
Adjusted LPN Staffing Hours per Resident per Day
0.80764
Adjusted RN Staffing Hours per Resident per Day
0.67912
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13560
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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