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Garden View Care Center - Shenandoah Nursing Home

General Information

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Federal Provider Number
165531
Provider Name
GARDEN VIEW CARE CENTER
Provider Address
1200 WEST NISHNA ROAD
SHENANDOAH, IA 51601
Provider Phone Number
(712) 246-4515
Provider SSA County
720
Provider County Name
Page
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHENANDOAH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61604
Reported LPN Staffing Hours per Resident per Day
0.70943
Reported RN Staffing Hours per Resident per Day
0.50943
Reported Licensed Staffing Hours per Resident per Day
1.21887
Reported Total Nurse Staffing Hours per Resident per Day
3.83490
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.29379
Expected LPN Staffing Hours per Resident per Day
0.66103
Expected RN Staffing Hours per Resident per Day
1.10564
Expected Total Nurse Staffing Hours per Resident per Day
4.06046
Adjusted CNA Staffing Hours per Resident per Day
2.79842
Adjusted LPN Staffing Hours per Resident per Day
0.89077
Adjusted RN Staffing Hours per Resident per Day
0.34428
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80698
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
0
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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