Fleur Heights Center For Wellness And Rehab - Des Moines Nursing Home

General Information

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Federal Provider Number
165273
Provider Name
FLEUR HEIGHTS CENTER FOR WELLNESS AND REHAB
Provider Address
4911 SW 19TH STREET
DES MOINES, IA 50315
Provider Phone Number
(515) 285-2559
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PACIFICA HEALTH SERVICES LLC
Date First Approved to Provide Medicare and Medicaid services
1996-05-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.20404
Reported LPN Staffing Hours per Resident per Day
1.26465
Reported RN Staffing Hours per Resident per Day
0.90253
Reported Licensed Staffing Hours per Resident per Day
2.16717
Reported Total Nurse Staffing Hours per Resident per Day
5.37122
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11061
Expected CNA Staffing Hours per Resident per Day
2.04627
Expected LPN Staffing Hours per Resident per Day
0.59839
Expected RN Staffing Hours per Resident per Day
0.94598
Expected Total Nurse Staffing Hours per Resident per Day
3.59065
Adjusted CNA Staffing Hours per Resident per Day
3.84199
Adjusted LPN Staffing Hours per Resident per Day
1.75413
Adjusted RN Staffing Hours per Resident per Day
0.71288
Adjusted Total Nurse Staffing Hours per Resident per Day
6.02979
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-08
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
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
131
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
131
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
64.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
50050
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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