Fountain West Health Center - West Des Moines Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165350
Provider Name
FOUNTAIN WEST HEALTH CENTER
Provider Address
1501 OFFICE PARK ROAD
WEST DES MOINES, IA 50265
WEST DES MOINES, IA 50265
Provider Phone Number
(515) 223-1223
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUNTAIN HEALTH CENTERS, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-07-22
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
2
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
2.39293
Reported LPN Staffing Hours per Resident per Day
0.67273
Reported RN Staffing Hours per Resident per Day
0.75303
Reported Licensed Staffing Hours per Resident per Day
1.42576
Reported Total Nurse Staffing Hours per Resident per Day
3.81869
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07576
Expected CNA Staffing Hours per Resident per Day
2.43837
Expected LPN Staffing Hours per Resident per Day
0.58859
Expected RN Staffing Hours per Resident per Day
0.89226
Expected Total Nurse Staffing Hours per Resident per Day
3.91921
Adjusted CNA Staffing Hours per Resident per Day
2.40798
Adjusted LPN Staffing Hours per Resident per Day
0.94865
Adjusted RN Staffing Hours per Resident per Day
0.63061
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92751
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-10-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
7
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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