Edgewater, A Wesleylife Community - West Des Moines Nursing Home
General Information
UPDATEFederal Provider Number
165597
Provider Name
EDGEWATER, A WESLEYLIFE COMMUNITY
Provider Address
9225 CASCADE AVENUE
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
Provider Phone Number
(515) 978-2400
Provider SSA County
240
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDGEWATER, A WESLEY ACTIVE LIFE COMMUNITY, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-10-30
Continuing Care Retirement Community
Y
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
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
3.60882
Reported LPN Staffing Hours per Resident per Day
0.98676
Reported RN Staffing Hours per Resident per Day
1.53824
Reported Licensed Staffing Hours per Resident per Day
2.52500
Reported Total Nurse Staffing Hours per Resident per Day
6.13382
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37794
Expected CNA Staffing Hours per Resident per Day
2.46421
Expected LPN Staffing Hours per Resident per Day
0.56752
Expected RN Staffing Hours per Resident per Day
1.08058
Expected Total Nurse Staffing Hours per Resident per Day
4.11231
Adjusted CNA Staffing Hours per Resident per Day
3.59343
Adjusted LPN Staffing Hours per Resident per Day
1.44314
Adjusted RN Staffing Hours per Resident per Day
1.06366
Adjusted Total Nurse Staffing Hours per Resident per Day
6.01239
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
2014-05-01
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
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
36
Cycle 3 Standard Health Survey Date
2012-01-05
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
18
Cycle 3 Total Health Score
54
Total Weighted Health Survey Score
35.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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