Crestridge Care Center - Maquoketa Nursing Home

General Information

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Federal Provider Number
165516
Provider Name
CRESTRIDGE CARE CENTER
Provider Address
1015 WESLEY DRIVE
MAQUOKETA, IA 52060
Provider Phone Number
(563) 652-4968
Provider SSA County
480
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTRIDGE, INC
Date First Approved to Provide Medicare and Medicaid services
2003-12-01
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.15313
Reported LPN Staffing Hours per Resident per Day
0.58281
Reported RN Staffing Hours per Resident per Day
0.84609
Reported Licensed Staffing Hours per Resident per Day
1.42891
Reported Total Nurse Staffing Hours per Resident per Day
3.58203
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01094
Expected CNA Staffing Hours per Resident per Day
2.21981
Expected LPN Staffing Hours per Resident per Day
0.55741
Expected RN Staffing Hours per Resident per Day
0.84647
Expected Total Nurse Staffing Hours per Resident per Day
3.62370
Adjusted CNA Staffing Hours per Resident per Day
2.37999
Adjusted LPN Staffing Hours per Resident per Day
0.86782
Adjusted RN Staffing Hours per Resident per Day
0.74687
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98455
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
16
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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