Chautauqua Guest Home #3 - Charles City Nursing Home

General Information

UPDATE
Federal Provider Number
165243
Provider Name
CHAUTAUQUA GUEST HOME #3
Provider Address
302 NINTH STREET
CHARLES CITY, IA 50616
Provider Phone Number
6412285351
Provider SSA County
330
Provider County Name
Floyd
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAUTAUQUA GUEST HOMES INC.
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.50849
Reported LPN Staffing Hours per Resident per Day
0.50566
Reported RN Staffing Hours per Resident per Day
0.62075
Reported Licensed Staffing Hours per Resident per Day
1.12642
Reported Total Nurse Staffing Hours per Resident per Day
3.63490
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01226
Expected CNA Staffing Hours per Resident per Day
2.43248
Expected LPN Staffing Hours per Resident per Day
0.61814
Expected RN Staffing Hours per Resident per Day
0.86768
Expected Total Nurse Staffing Hours per Resident per Day
3.91830
Adjusted CNA Staffing Hours per Resident per Day
2.53038
Adjusted LPN Staffing Hours per Resident per Day
0.67897
Adjusted RN Staffing Hours per Resident per Day
0.53456
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73936
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
111
Cycle 2 Standard Health Survey Date
2013-10-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
71.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
10173
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Chautauqua Guest Home #2

602 Eleventh Street | CHARLES CITY IA 50616 | 0.2 mile away

Cedar Health

807 Fifth Street | CHARLES CITY IA 50616 | 0.5 mile away

Nora Springs Care Center

907 W Congress | NORA SPRINGS IA 50458 | 18.3 miles away

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