Griswold Rehabilitation & Health Care Center - Griswold Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165351
Provider Name
GRISWOLD REHABILITATION & HEALTH CARE CENTER
Provider Address
106 HARRISON ST
GRISWOLD, IA 51535
GRISWOLD, IA 51535
Provider Phone Number
(712) 778-2534
Provider SSA County
140
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
42
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRISWOLD CARE CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1995-02-01
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
3
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
2.25000
Reported LPN Staffing Hours per Resident per Day
0.48333
Reported RN Staffing Hours per Resident per Day
0.86833
Reported Licensed Staffing Hours per Resident per Day
1.35167
Reported Total Nurse Staffing Hours per Resident per Day
3.60166
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01500
Expected CNA Staffing Hours per Resident per Day
2.39009
Expected LPN Staffing Hours per Resident per Day
0.60475
Expected RN Staffing Hours per Resident per Day
0.98868
Expected Total Nurse Staffing Hours per Resident per Day
3.98352
Adjusted CNA Staffing Hours per Resident per Day
2.30988
Adjusted LPN Staffing Hours per Resident per Day
0.66335
Adjusted RN Staffing Hours per Resident per Day
0.65625
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64450
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
24
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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