Genesis Senior Living Center - Des Moines Nursing Home
General Information
UPDATEFederal Provider Number
165175
Provider Name
GENESIS SENIOR LIVING CENTER
Provider Address
5608 SW NINTH STREET
DES MOINES, IA 50315
DES MOINES, IA 50315
Provider Phone Number
(515) 285-3070
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DSM HEALTHCARE MANAGEMENT
Date First Approved to Provide Medicare and Medicaid services
1992-11-01
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
3
Health Inspection Rating Footnote
QM Rating
5
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
1.60857
Reported LPN Staffing Hours per Resident per Day
0.49214
Reported RN Staffing Hours per Resident per Day
0.73929
Reported Licensed Staffing Hours per Resident per Day
1.23143
Reported Total Nurse Staffing Hours per Resident per Day
2.84000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02429
Expected CNA Staffing Hours per Resident per Day
2.31051
Expected LPN Staffing Hours per Resident per Day
0.57775
Expected RN Staffing Hours per Resident per Day
0.94348
Expected Total Nurse Staffing Hours per Resident per Day
3.83174
Adjusted CNA Staffing Hours per Resident per Day
1.70826
Adjusted LPN Staffing Hours per Resident per Day
0.70702
Adjusted RN Staffing Hours per Resident per Day
0.58549
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98761
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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