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Green Hills Health Care Center - Ames Nursing Home

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Federal Provider Number
165577
Provider Name
GREEN HILLS HEALTH CARE CENTER
Provider Address
2200 HAMILTON DRIVE
AMES, IA 50014
Provider Phone Number
(515) 296-5000
Provider SSA County
840
Provider County Name
Story
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
42
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
GREEN HILLS HEALTH CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
2010-01-28
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
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
2.80119
Reported LPN Staffing Hours per Resident per Day
0.80119
Reported RN Staffing Hours per Resident per Day
0.76429
Reported Licensed Staffing Hours per Resident per Day
1.56548
Reported Total Nurse Staffing Hours per Resident per Day
4.36667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07024
Expected CNA Staffing Hours per Resident per Day
2.44450
Expected LPN Staffing Hours per Resident per Day
0.61305
Expected RN Staffing Hours per Resident per Day
1.01992
Expected Total Nurse Staffing Hours per Resident per Day
4.07747
Adjusted CNA Staffing Hours per Resident per Day
2.81173
Adjusted LPN Staffing Hours per Resident per Day
1.08473
Adjusted RN Staffing Hours per Resident per Day
0.55992
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31680
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
48
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-12-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
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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