Crestview Nursing & Rehab - Webster City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165463
Provider Name
CRESTVIEW NURSING & REHAB
Provider Address
2401 SOUTH DES MOINES STREET
WEBSTER CITY, IA 50595
WEBSTER CITY, IA 50595
Provider Phone Number
(515) 832-2727
Provider SSA County
390
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRESTVIEW NURSING AND REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-06-01
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
4
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
2.56400
Reported LPN Staffing Hours per Resident per Day
0.71700
Reported RN Staffing Hours per Resident per Day
0.80200
Reported Licensed Staffing Hours per Resident per Day
1.51900
Reported Total Nurse Staffing Hours per Resident per Day
4.08300
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04100
Expected CNA Staffing Hours per Resident per Day
2.50771
Expected LPN Staffing Hours per Resident per Day
0.59988
Expected RN Staffing Hours per Resident per Day
0.95007
Expected Total Nurse Staffing Hours per Resident per Day
4.05766
Adjusted CNA Staffing Hours per Resident per Day
2.50878
Adjusted LPN Staffing Hours per Resident per Day
0.99204
Adjusted RN Staffing Hours per Resident per Day
0.63075
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05608
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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