Burlington Care Center - Burlington Nursing Home

General Information

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Federal Provider Number
165572
Provider Name
BURLINGTON CARE CENTER
Provider Address
2610 SOUTH FIFTH STREET
BURLINGTON, IA 52601
Provider Phone Number
(319) 753-2841
Provider SSA County
280
Provider County Name
Des Moines
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURLINGTON CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2006-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.99623
Reported LPN Staffing Hours per Resident per Day
0.85283
Reported RN Staffing Hours per Resident per Day
0.90094
Reported Licensed Staffing Hours per Resident per Day
1.75377
Reported Total Nurse Staffing Hours per Resident per Day
4.75000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00660
Expected CNA Staffing Hours per Resident per Day
2.11131
Expected LPN Staffing Hours per Resident per Day
0.51579
Expected RN Staffing Hours per Resident per Day
0.81447
Expected Total Nurse Staffing Hours per Resident per Day
3.44157
Adjusted CNA Staffing Hours per Resident per Day
3.48212
Adjusted LPN Staffing Hours per Resident per Day
1.37237
Adjusted RN Staffing Hours per Resident per Day
0.82653
Adjusted Total Nurse Staffing Hours per Resident per Day
5.56339
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
13.33300
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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