Granger Nursing & Rehabilitation Center - Granger Nursing Home
General Information
UPDATEFederal Provider Number
165208
Provider Name
GRANGER NURSING & REHABILITATION CENTER
Provider Address
2001 KENNEDY STREET
GRANGER, IA 50109
GRANGER, IA 50109
Provider Phone Number
5159992588
Provider SSA County
240
Provider County Name
Dallas
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XVII LP
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
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
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20926
Reported LPN Staffing Hours per Resident per Day
0.89907
Reported RN Staffing Hours per Resident per Day
1.25741
Reported Licensed Staffing Hours per Resident per Day
2.15648
Reported Total Nurse Staffing Hours per Resident per Day
4.36574
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.51357
Expected LPN Staffing Hours per Resident per Day
0.74151
Expected RN Staffing Hours per Resident per Day
1.18974
Expected Total Nurse Staffing Hours per Resident per Day
4.44481
Adjusted CNA Staffing Hours per Resident per Day
2.15664
Adjusted LPN Staffing Hours per Resident per Day
1.00636
Adjusted RN Staffing Hours per Resident per Day
0.78970
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95919
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-10
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
24
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
183
Cycle 2 Standard Health Survey Date
2013-04-04
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
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
115.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
24
Number of Fines
1
Total Amount of Fines in Dollars
5428
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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