Crystal Heights Care Center - Oskaloosa Nursing Home

General Information

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Federal Provider Number
165570
Provider Name
CRYSTAL HEIGHTS CARE CENTER
Provider Address
1514 HIGH AVENUE WEST
OSKALOOSA, IA 52577
Provider Phone Number
(641) 673-7032
Provider SSA County
610
Provider County Name
Mahaska
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLS CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2006-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.83542
Reported LPN Staffing Hours per Resident per Day
0.23542
Reported RN Staffing Hours per Resident per Day
0.64514
Reported Licensed Staffing Hours per Resident per Day
0.88056
Reported Total Nurse Staffing Hours per Resident per Day
2.71598
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01458
Expected CNA Staffing Hours per Resident per Day
2.50920
Expected LPN Staffing Hours per Resident per Day
0.57741
Expected RN Staffing Hours per Resident per Day
0.86630
Expected Total Nurse Staffing Hours per Resident per Day
3.95291
Adjusted CNA Staffing Hours per Resident per Day
1.79482
Adjusted LPN Staffing Hours per Resident per Day
0.33840
Adjusted RN Staffing Hours per Resident per Day
0.55645
Adjusted Total Nurse Staffing Hours per Resident per Day
2.76957
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
2014-05-15
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-04
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
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
2
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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