English Valley Nursing Care Center - North English Nursing Home

General Information

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Federal Provider Number
165456
Provider Name
ENGLISH VALLEY NURSING CARE CENTER
Provider Address
150 WEST WASHINGTON ST- PO BOX 430
NORTH ENGLISH, IA 52316
Provider Phone Number
(319) 664-3256
Provider SSA County
470
Provider County Name
Iowa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENGLISH VALLEY NURSING CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2002-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.01000
Reported LPN Staffing Hours per Resident per Day
0.35700
Reported RN Staffing Hours per Resident per Day
0.67700
Reported Licensed Staffing Hours per Resident per Day
1.03400
Reported Total Nurse Staffing Hours per Resident per Day
3.04400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.18984
Expected LPN Staffing Hours per Resident per Day
0.64165
Expected RN Staffing Hours per Resident per Day
0.92857
Expected Total Nurse Staffing Hours per Resident per Day
3.76006
Adjusted CNA Staffing Hours per Resident per Day
2.25219
Adjusted LPN Staffing Hours per Resident per Day
0.46179
Adjusted RN Staffing Hours per Resident per Day
0.54477
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26326
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.66700
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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