Fonda Nursing & Rehab Center - Fonda Nursing Home
General Information
UPDATEFederal Provider Number
165312
Provider Name
FONDA NURSING & REHAB CENTER
Provider Address
607 QUEEN STREET
FONDA, IA 50540
FONDA, IA 50540
Provider Phone Number
7122884441
Provider SSA County
750
Provider County Name
Pocahontas
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1996-12-01
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
2
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
1.78947
Reported LPN Staffing Hours per Resident per Day
0.24342
Reported RN Staffing Hours per Resident per Day
0.66316
Reported Licensed Staffing Hours per Resident per Day
0.90658
Reported Total Nurse Staffing Hours per Resident per Day
2.69605
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.42504
Expected LPN Staffing Hours per Resident per Day
0.57291
Expected RN Staffing Hours per Resident per Day
0.75288
Expected Total Nurse Staffing Hours per Resident per Day
3.75082
Adjusted CNA Staffing Hours per Resident per Day
1.81062
Adjusted LPN Staffing Hours per Resident per Day
0.35266
Adjusted RN Staffing Hours per Resident per Day
0.65816
Adjusted Total Nurse Staffing Hours per Resident per Day
2.89737
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
1
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
Nursiong Homes Nearby
Pocahontas Manor
700 Nw Seventh Street |
POCAHONTAS IA 50574 | 13.6 miles away
Laurens Care Center
304 East Veterans Road |
LAURENS IA 50554 | 17.8 miles away
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