Franklin General Hospital - Hampton Nursing Home

General Information

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Federal Provider Number
160000000000000000000000000000
Provider Name
FRANKLIN GENERAL HOSPITAL
Provider Address
1720 CENTRAL AVENUE EAST
HAMPTON, IA 50441
Provider Phone Number
(641) 456-5000
Provider SSA County
340
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
52
Number of Residents in Certified Beds
50
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
4
QM Rating Footnote
Staffing Rating
4
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
1.71900
Reported LPN Staffing Hours per Resident per Day
0.65200
Reported RN Staffing Hours per Resident per Day
0.69600
Reported Licensed Staffing Hours per Resident per Day
1.34800
Reported Total Nurse Staffing Hours per Resident per Day
3.06700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.11206
Expected LPN Staffing Hours per Resident per Day
0.50684
Expected RN Staffing Hours per Resident per Day
0.66351
Expected Total Nurse Staffing Hours per Resident per Day
3.28241
Adjusted CNA Staffing Hours per Resident per Day
1.99706
Adjusted LPN Staffing Hours per Resident per Day
1.06771
Adjusted RN Staffing Hours per Resident per Day
0.78379
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76637
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-29
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.66700
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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