Cedar Health - Charles City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165469
Provider Name
CEDAR HEALTH
Provider Address
807 FIFTH STREET
CHARLES CITY, IA 50616
CHARLES CITY, IA 50616
Provider Phone Number
(641) 228-1612
Provider SSA County
330
Provider County Name
Floyd
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MMS HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2002-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.61563
Reported LPN Staffing Hours per Resident per Day
0.45729
Reported RN Staffing Hours per Resident per Day
0.30938
Reported Licensed Staffing Hours per Resident per Day
0.76667
Reported Total Nurse Staffing Hours per Resident per Day
2.38230
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02396
Expected CNA Staffing Hours per Resident per Day
2.27741
Expected LPN Staffing Hours per Resident per Day
0.55783
Expected RN Staffing Hours per Resident per Day
0.87861
Expected Total Nurse Staffing Hours per Resident per Day
3.71385
Adjusted CNA Staffing Hours per Resident per Day
1.74069
Adjusted LPN Staffing Hours per Resident per Day
0.68040
Adjusted RN Staffing Hours per Resident per Day
0.26311
Adjusted Total Nurse Staffing Hours per Resident per Day
2.58567
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
107
Cycle 3 Standard Health Survey Date
2012-09-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
107
Total Weighted Health Survey Score
109.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
3600
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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