Eldora Nursing And Rehab Cente - Eldora Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165316
Provider Name
ELDORA NURSING AND REHAB CENTE
Provider Address
1510 22ND STREET
ELDORA, IA 50627
ELDORA, IA 50627
Provider Phone Number
(641) 939-3491
Provider SSA County
410
Provider County Name
Hardin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
27
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
1997-04-30
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
2.13704
Reported LPN Staffing Hours per Resident per Day
0.91852
Reported RN Staffing Hours per Resident per Day
0.61852
Reported Licensed Staffing Hours per Resident per Day
1.53704
Reported Total Nurse Staffing Hours per Resident per Day
3.67408
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03704
Expected CNA Staffing Hours per Resident per Day
2.55039
Expected LPN Staffing Hours per Resident per Day
0.61822
Expected RN Staffing Hours per Resident per Day
0.95316
Expected Total Nurse Staffing Hours per Resident per Day
4.12177
Adjusted CNA Staffing Hours per Resident per Day
2.05602
Adjusted LPN Staffing Hours per Resident per Day
1.23317
Adjusted RN Staffing Hours per Resident per Day
0.48487
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59308
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-26
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-06
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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