Goldenrod Manor - Clarinda Nursing Home

General Information

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Federal Provider Number
165489
Provider Name
GOLDENROD MANOR
Provider Address
225 WEST LAPERLA DRIVE
CLARINDA, IA 51632
Provider Phone Number
(712) 542-5621
Provider SSA County
720
Provider County Name
Page
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
49
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JP SENIOR HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
2003-07-01
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.34545
Reported LPN Staffing Hours per Resident per Day
0.64773
Reported RN Staffing Hours per Resident per Day
0.84773
Reported Licensed Staffing Hours per Resident per Day
1.49545
Reported Total Nurse Staffing Hours per Resident per Day
3.84091
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02614
Expected CNA Staffing Hours per Resident per Day
2.43023
Expected LPN Staffing Hours per Resident per Day
0.57079
Expected RN Staffing Hours per Resident per Day
0.90200
Expected Total Nurse Staffing Hours per Resident per Day
3.90303
Adjusted CNA Staffing Hours per Resident per Day
2.36810
Adjusted LPN Staffing Hours per Resident per Day
0.94187
Adjusted RN Staffing Hours per Resident per Day
0.70224
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96675
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-02-20
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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