Clearview Home - Clearfield Nursing Home

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Federal Provider Number
165457
Provider Name
CLEARVIEW HOME
Provider Address
202 NORTH JEFFERSON
CLEARFIELD, IA 50840
Provider Phone Number
(641) 336-2333
Provider SSA County
860
Provider County Name
Taylor
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
36
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLEARVIEW - ROUTH LP
Date First Approved to Provide Medicare and Medicaid services
2002-05-01
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
5
QM Rating Footnote
Staffing Rating
4
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
2.57692
Reported LPN Staffing Hours per Resident per Day
0.78077
Reported RN Staffing Hours per Resident per Day
0.84808
Reported Licensed Staffing Hours per Resident per Day
1.62885
Reported Total Nurse Staffing Hours per Resident per Day
4.20577
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02115
Expected CNA Staffing Hours per Resident per Day
2.53954
Expected LPN Staffing Hours per Resident per Day
0.61570
Expected RN Staffing Hours per Resident per Day
0.84345
Expected Total Nurse Staffing Hours per Resident per Day
3.99869
Adjusted CNA Staffing Hours per Resident per Day
2.48982
Adjusted LPN Staffing Hours per Resident per Day
1.05252
Adjusted RN Staffing Hours per Resident per Day
0.75130
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23965
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
28
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
2013-03-20
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
17.33300
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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