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Colonial Manors Of Columbus Community - Columbus Junction Nursing Home

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Federal Provider Number
165476
Provider Name
COLONIAL MANORS OF COLUMBUS COMMUNITY
Provider Address
814 SPRINGER AVENUE
COLUMBUS JUNCTION, IA 52738
Provider Phone Number
(319) 728-2276
Provider SSA County
570
Provider County Name
Louisa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL MANORS OF COLUMBUS COMUNITY INC
Date First Approved to Provide Medicare and Medicaid services
2003-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.42821
Reported LPN Staffing Hours per Resident per Day
0.41538
Reported RN Staffing Hours per Resident per Day
0.82179
Reported Licensed Staffing Hours per Resident per Day
1.23718
Reported Total Nurse Staffing Hours per Resident per Day
3.66538
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04359
Expected CNA Staffing Hours per Resident per Day
2.24016
Expected LPN Staffing Hours per Resident per Day
0.59727
Expected RN Staffing Hours per Resident per Day
0.96078
Expected Total Nurse Staffing Hours per Resident per Day
3.79820
Adjusted CNA Staffing Hours per Resident per Day
2.65968
Adjusted LPN Staffing Hours per Resident per Day
0.57724
Adjusted RN Staffing Hours per Resident per Day
0.63911
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88994
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-14
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
8
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
34.00000
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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