Dunlap Nursing & Rehab Center - Dunlap Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165193
Provider Name
DUNLAP NURSING & REHAB CENTER
Provider Address
1403 HARRISON ROAD
DUNLAP, IA 51529
DUNLAP, IA 51529
Provider Phone Number
(712) 643-2121
Provider SSA County
420
Provider County Name
Harrison
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
33
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
1993-12-01
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
4
Health Inspection Rating Footnote
QM Rating
1
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
1.92879
Reported LPN Staffing Hours per Resident per Day
0.93030
Reported RN Staffing Hours per Resident per Day
0.45000
Reported Licensed Staffing Hours per Resident per Day
1.38030
Reported Total Nurse Staffing Hours per Resident per Day
3.30909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04394
Expected CNA Staffing Hours per Resident per Day
2.44533
Expected LPN Staffing Hours per Resident per Day
0.57307
Expected RN Staffing Hours per Resident per Day
0.76978
Expected Total Nurse Staffing Hours per Resident per Day
3.78818
Adjusted CNA Staffing Hours per Resident per Day
1.93539
Adjusted LPN Staffing Hours per Resident per Day
1.34740
Adjusted RN Staffing Hours per Resident per Day
0.43680
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52112
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
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
20
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
2013-03-07
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.66700
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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