Eastern Star Masonic Home - Boone Nursing Home
General Information
UPDATEFederal Provider Number
165468
Provider Name
EASTERN STAR MASONIC HOME
Provider Address
715 WEST THIRD STREET
BOONE, IA 50036
BOONE, IA 50036
Provider Phone Number
5154325274
Provider SSA County
70
Provider County Name
Boone
Ownership Type
Non profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTERN STAR MASONIC HOME
Date First Approved to Provide Medicare and Medicaid services
2002-09-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.14474
Reported LPN Staffing Hours per Resident per Day
1.05921
Reported RN Staffing Hours per Resident per Day
1.10263
Reported Licensed Staffing Hours per Resident per Day
2.16184
Reported Total Nurse Staffing Hours per Resident per Day
5.30658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.51379
Expected LPN Staffing Hours per Resident per Day
0.54508
Expected RN Staffing Hours per Resident per Day
0.75261
Expected Total Nurse Staffing Hours per Resident per Day
3.81148
Adjusted CNA Staffing Hours per Resident per Day
3.06957
Adjusted LPN Staffing Hours per Resident per Day
1.61287
Adjusted RN Staffing Hours per Resident per Day
1.09470
Adjusted Total Nurse Staffing Hours per Resident per Day
5.61207
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
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
12
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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
Nursiong Homes Nearby
Westhaven Community
112 West Fourth Street |
BOONE IA 50036 | 0.5 mile away
Boone County Hospital
1015 Union Street |
BOONE IA 50036 | 1.3 miles away
Ogden Manor
625 East Oak Street |
OGDEN IA 50212 | 6.2 miles away
Madrid Home For The Aged
613 West North Street |
MADRID IA 50156 | 13.1 miles away
Reviews: Be the first to review this provider.
Share your experience with Eastern Star Masonic Home. You can help others by writing a review.
