Crestview Nursing & Rehab Cent - West Branch Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165287
Provider Name
CRESTVIEW NURSING & REHAB CENT
Provider Address
451 WEST ORANGE STREET
WEST BRANCH, IA 52358
WEST BRANCH, IA 52358
Provider Phone Number
(319) 643-2551
Provider SSA County
150
Provider County Name
Cedar
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
61
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
1996-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.25984
Reported LPN Staffing Hours per Resident per Day
0.64836
Reported RN Staffing Hours per Resident per Day
0.51885
Reported Licensed Staffing Hours per Resident per Day
1.16721
Reported Total Nurse Staffing Hours per Resident per Day
3.42705
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02705
Expected CNA Staffing Hours per Resident per Day
2.39532
Expected LPN Staffing Hours per Resident per Day
0.58850
Expected RN Staffing Hours per Resident per Day
0.86440
Expected Total Nurse Staffing Hours per Resident per Day
3.84822
Adjusted CNA Staffing Hours per Resident per Day
2.31492
Adjusted LPN Staffing Hours per Resident per Day
0.91442
Adjusted RN Staffing Hours per Resident per Day
0.44850
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58973
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-12-19
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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