Exira Care Center - Exira Nursing Home

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Federal Provider Number
165412
Provider Name
EXIRA CARE CENTER
Provider Address
409 SOUTH CARTHAGE
EXIRA, IA 50076
Provider Phone Number
(712) 268-5393
Provider SSA County
40
Provider County Name
Audubon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
N-V-H, INC.
Date First Approved to Provide Medicare and Medicaid services
1999-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03774
Reported LPN Staffing Hours per Resident per Day
0.63585
Reported RN Staffing Hours per Resident per Day
0.22830
Reported Licensed Staffing Hours per Resident per Day
0.86415
Reported Total Nurse Staffing Hours per Resident per Day
2.90189
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01887
Expected CNA Staffing Hours per Resident per Day
2.16266
Expected LPN Staffing Hours per Resident per Day
0.54717
Expected RN Staffing Hours per Resident per Day
0.77547
Expected Total Nurse Staffing Hours per Resident per Day
3.48530
Adjusted CNA Staffing Hours per Resident per Day
2.31197
Adjusted LPN Staffing Hours per Resident per Day
0.96452
Adjusted RN Staffing Hours per Resident per Day
0.21998
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35616
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-31
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.66700
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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