Eventide Lutheran Home For The - Denison Nursing Home

General Information

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Federal Provider Number
165532
Provider Name
EVENTIDE LUTHERAN HOME FOR THE
Provider Address
114 SOUTH 20TH STREET
DENISON, IA 51442
Provider Phone Number
(712) 263-3114
Provider SSA County
230
Provider County Name
Crawford
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVENTIDE
Date First Approved to Provide Medicare and Medicaid services
2004-04-01
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
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
2.44362
Reported LPN Staffing Hours per Resident per Day
0.72340
Reported RN Staffing Hours per Resident per Day
0.69468
Reported Licensed Staffing Hours per Resident per Day
1.41809
Reported Total Nurse Staffing Hours per Resident per Day
3.86170
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00745
Expected CNA Staffing Hours per Resident per Day
2.32273
Expected LPN Staffing Hours per Resident per Day
0.55969
Expected RN Staffing Hours per Resident per Day
0.77223
Expected Total Nurse Staffing Hours per Resident per Day
3.65465
Adjusted CNA Staffing Hours per Resident per Day
2.58141
Adjusted LPN Staffing Hours per Resident per Day
1.07277
Adjusted RN Staffing Hours per Resident per Day
0.67217
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25927
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
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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