Emmetsburg Care Center - Emmetsburg Nursing Home

General Information

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Federal Provider Number
165352
Provider Name
EMMETSBURG CARE CENTER
Provider Address
2405 21ST STREET
EMMETSBURG, IA 50536
Provider Phone Number
(712) 852-4266
Provider SSA County
730
Provider County Name
Palo Alto
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ABCM CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1997-08-01
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16300
Reported LPN Staffing Hours per Resident per Day
0.42000
Reported RN Staffing Hours per Resident per Day
0.73300
Reported Licensed Staffing Hours per Resident per Day
1.15300
Reported Total Nurse Staffing Hours per Resident per Day
3.31600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03400
Expected CNA Staffing Hours per Resident per Day
2.11987
Expected LPN Staffing Hours per Resident per Day
0.59740
Expected RN Staffing Hours per Resident per Day
0.80454
Expected Total Nurse Staffing Hours per Resident per Day
3.52181
Adjusted CNA Staffing Hours per Resident per Day
2.50362
Adjusted LPN Staffing Hours per Resident per Day
0.58353
Adjusted RN Staffing Hours per Resident per Day
0.68076
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79534
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-05
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
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
8
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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