Friendship Haven, Inc - Fort Dodge Nursing Home

General Information

UPDATE
Federal Provider Number
165291
Provider Name
FRIENDSHIP HAVEN, INC
Provider Address
420 SOUTH KENYON ROAD
FORT DODGE, IA 50501
Provider Phone Number
5155732121
Provider SSA County
930
Provider County Name
Webster
Ownership Type
Non profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRIENDSHIP HAVEN, INC
Date First Approved to Provide Medicare and Medicaid services
1996-09-01
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
2
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
3.27065
Reported LPN Staffing Hours per Resident per Day
0.85326
Reported RN Staffing Hours per Resident per Day
1.01902
Reported Licensed Staffing Hours per Resident per Day
1.87228
Reported Total Nurse Staffing Hours per Resident per Day
5.14293
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07174
Expected CNA Staffing Hours per Resident per Day
2.54289
Expected LPN Staffing Hours per Resident per Day
0.59361
Expected RN Staffing Hours per Resident per Day
0.89615
Expected Total Nurse Staffing Hours per Resident per Day
4.03265
Adjusted CNA Staffing Hours per Resident per Day
3.15594
Adjusted LPN Staffing Hours per Resident per Day
1.19305
Adjusted RN Staffing Hours per Resident per Day
0.84965
Adjusted Total Nurse Staffing Hours per Resident per Day
5.14070
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
20
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-07
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
2012-10-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
15.33300
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

Nursiong Homes Nearby

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Gowrie Care Center Llc

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