Good Neighbor Home - Manchester Nursing Home
General Information
UPDATEFederal Provider Number
165503
Provider Name
GOOD NEIGHBOR HOME
Provider Address
105 MCCARREN DRIVE
MANCHESTER, IA 52057
MANCHESTER, IA 52057
Provider Phone Number
5639273907
Provider SSA County
270
Provider County Name
Delaware
Ownership Type
Non profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD NEIGHBOR SOCIETY
Date First Approved to Provide Medicare and Medicaid services
2003-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.66384
Reported LPN Staffing Hours per Resident per Day
0.55357
Reported RN Staffing Hours per Resident per Day
0.76830
Reported Licensed Staffing Hours per Resident per Day
1.32188
Reported Total Nurse Staffing Hours per Resident per Day
3.98571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03616
Expected CNA Staffing Hours per Resident per Day
2.37886
Expected LPN Staffing Hours per Resident per Day
0.62909
Expected RN Staffing Hours per Resident per Day
0.89651
Expected Total Nurse Staffing Hours per Resident per Day
3.90446
Adjusted CNA Staffing Hours per Resident per Day
2.74764
Adjusted LPN Staffing Hours per Resident per Day
0.73036
Adjusted RN Staffing Hours per Resident per Day
0.64035
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11478
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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