Crest Haven Care Centre - Creston Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165275
Provider Name
CREST HAVEN CARE CENTRE
Provider Address
1000 EAST HOWARD
CRESTON, IA 50801
CRESTON, IA 50801
Provider Phone Number
(641) 782-5012
Provider SSA County
870
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
40
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CREST HAVEN CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-06-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.76970
Reported LPN Staffing Hours per Resident per Day
0.64545
Reported RN Staffing Hours per Resident per Day
0.56212
Reported Licensed Staffing Hours per Resident per Day
1.20758
Reported Total Nurse Staffing Hours per Resident per Day
2.97727
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.20262
Expected LPN Staffing Hours per Resident per Day
0.54106
Expected RN Staffing Hours per Resident per Day
0.82526
Expected Total Nurse Staffing Hours per Resident per Day
3.56894
Adjusted CNA Staffing Hours per Resident per Day
1.97143
Adjusted LPN Staffing Hours per Resident per Day
0.99014
Adjusted RN Staffing Hours per Resident per Day
0.50895
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36265
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
34
Cycle 3 Total Health Score
102
Total Weighted Health Survey Score
55.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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