Corydon Nursing & Rehab Center - Corydon Nursing Home
General Information
UPDATEFederal Provider Number
165222
Provider Name
CORYDON NURSING & REHAB CENTER
Provider Address
745 EAST SOUTH STREET
CORYDON, IA 50060
CORYDON, IA 50060
Provider Phone Number
6418721590
Provider SSA County
920
Provider County Name
Wayne
Ownership Type
Non profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
1.66884
Reported LPN Staffing Hours per Resident per Day
0.72681
Reported RN Staffing Hours per Resident per Day
0.39710
Reported Licensed Staffing Hours per Resident per Day
1.12391
Reported Total Nurse Staffing Hours per Resident per Day
2.79275
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01159
Expected CNA Staffing Hours per Resident per Day
2.43666
Expected LPN Staffing Hours per Resident per Day
0.56538
Expected RN Staffing Hours per Resident per Day
0.76263
Expected Total Nurse Staffing Hours per Resident per Day
3.76467
Adjusted CNA Staffing Hours per Resident per Day
1.68051
Adjusted LPN Staffing Hours per Resident per Day
1.06699
Adjusted RN Staffing Hours per Resident per Day
0.38907
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99025
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-25
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
3
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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