Cedar Manor Nursing Home - Tipton Nursing Home

General Information

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Federal Provider Number
165599
Provider Name
CEDAR MANOR NURSING HOME
Provider Address
1200 MULBERRY STREET
TIPTON, IA 52772
Provider Phone Number
(563) 886-2133
Provider SSA County
150
Provider County Name
Cedar
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE CEDAR FOUNDATION, INCORPORATED OF CEDAR COUNTY IOWA
Date First Approved to Provide Medicare and Medicaid services
2010-07-01
Continuing Care Retirement Community
Y
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02642
Reported LPN Staffing Hours per Resident per Day
0.34717
Reported RN Staffing Hours per Resident per Day
0.46509
Reported Licensed Staffing Hours per Resident per Day
0.81226
Reported Total Nurse Staffing Hours per Resident per Day
2.83868
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01038
Expected CNA Staffing Hours per Resident per Day
2.06076
Expected LPN Staffing Hours per Resident per Day
0.55667
Expected RN Staffing Hours per Resident per Day
0.91038
Expected Total Nurse Staffing Hours per Resident per Day
3.52780
Adjusted CNA Staffing Hours per Resident per Day
2.41281
Adjusted LPN Staffing Hours per Resident per Day
0.51764
Adjusted RN Staffing Hours per Resident per Day
0.38173
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24350
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-04
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
18.00000
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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