Dubuque Nursing & Rehab Center - Dubuque Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165228
Provider Name
DUBUQUE NURSING & REHAB CENTER
Provider Address
2935 KAUFMANN AVENUE
DUBUQUE, IA 52001
DUBUQUE, IA 52001
Provider Phone Number
(563) 556-0673
Provider SSA County
300
Provider County Name
Dubuque
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
64
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
1994-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.93125
Reported LPN Staffing Hours per Resident per Day
0.87891
Reported RN Staffing Hours per Resident per Day
0.49844
Reported Licensed Staffing Hours per Resident per Day
1.37734
Reported Total Nurse Staffing Hours per Resident per Day
3.30860
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04766
Expected CNA Staffing Hours per Resident per Day
2.71527
Expected LPN Staffing Hours per Resident per Day
0.66159
Expected RN Staffing Hours per Resident per Day
0.99398
Expected Total Nurse Staffing Hours per Resident per Day
4.37083
Adjusted CNA Staffing Hours per Resident per Day
1.74521
Adjusted LPN Staffing Hours per Resident per Day
1.10264
Adjusted RN Staffing Hours per Resident per Day
0.37469
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05128
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
28
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
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
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
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
7
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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