Glen Haven Home - Glenwood Nursing Home
General Information
UPDATEFederal Provider Number
165530
Provider Name
GLEN HAVEN HOME
Provider Address
302 SIXTH AVENUE
GLENWOOD, IA 51534
GLENWOOD, IA 51534
Provider Phone Number
7125273101
Provider SSA County
640
Provider County Name
Mills
Ownership Type
Non profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GLEN HAVEN HOME
Date First Approved to Provide Medicare and Medicaid services
2004-05-06
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98387
Reported LPN Staffing Hours per Resident per Day
0.80081
Reported RN Staffing Hours per Resident per Day
0.35806
Reported Licensed Staffing Hours per Resident per Day
1.15887
Reported Total Nurse Staffing Hours per Resident per Day
4.14274
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01694
Expected CNA Staffing Hours per Resident per Day
2.28769
Expected LPN Staffing Hours per Resident per Day
0.61541
Expected RN Staffing Hours per Resident per Day
0.95629
Expected Total Nurse Staffing Hours per Resident per Day
3.85940
Adjusted CNA Staffing Hours per Resident per Day
3.20039
Adjusted LPN Staffing Hours per Resident per Day
1.08005
Adjusted RN Staffing Hours per Resident per Day
0.27977
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32683
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
223
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
112
Cycle 1 Total Health Score
335
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-09
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
183.50000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
12
Number of Fines
2
Total Amount of Fines in Dollars
33943
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
On With Life At Glenwood
714 South Lacey Suite 100 |
GLENWOOD IA 51534 | 0.9 mile away
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