Buchanan County Health Center - Independence Nursing Home

General Information

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Federal Provider Number
160000000000000000000000000000
Provider Name
BUCHANAN COUNTY HEALTH CENTER
Provider Address
1600 FIRST STREET EAST
INDEPENDENCE, IA 50644
Provider Phone Number
(319) 334-6071
Provider SSA County
90
Provider County Name
Buchanan
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
39
Number of Residents in Certified Beds
37
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-10-01
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67973
Reported LPN Staffing Hours per Resident per Day
0.72162
Reported RN Staffing Hours per Resident per Day
0.74189
Reported Licensed Staffing Hours per Resident per Day
1.46351
Reported Total Nurse Staffing Hours per Resident per Day
4.14324
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01216
Expected CNA Staffing Hours per Resident per Day
2.36820
Expected LPN Staffing Hours per Resident per Day
0.53581
Expected RN Staffing Hours per Resident per Day
0.71500
Expected Total Nurse Staffing Hours per Resident per Day
3.61901
Adjusted CNA Staffing Hours per Resident per Day
2.77648
Adjusted LPN Staffing Hours per Resident per Day
1.11783
Adjusted RN Staffing Hours per Resident per Day
0.77530
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61480
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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