Happy Siesta Nursing Home - Remsen Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165405
Provider Name
HAPPY SIESTA NURSING HOME
Provider Address
423 ROOSEVELT STREET
REMSEN, IA 51050
REMSEN, IA 51050
Provider Phone Number
(712) 786-1117
Provider SSA County
740
Provider County Name
Plymouth
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CORNERSTONE SENIOR COMMUNITIES OF REMSEN
Date First Approved to Provide Medicare and Medicaid services
1999-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67125
Reported LPN Staffing Hours per Resident per Day
0.67125
Reported RN Staffing Hours per Resident per Day
0.60000
Reported Licensed Staffing Hours per Resident per Day
1.27125
Reported Total Nurse Staffing Hours per Resident per Day
2.94250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08875
Expected CNA Staffing Hours per Resident per Day
2.33605
Expected LPN Staffing Hours per Resident per Day
0.60096
Expected RN Staffing Hours per Resident per Day
0.90765
Expected Total Nurse Staffing Hours per Resident per Day
3.84465
Adjusted CNA Staffing Hours per Resident per Day
1.75542
Adjusted LPN Staffing Hours per Resident per Day
0.92708
Adjusted RN Staffing Hours per Resident per Day
0.49394
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08505
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-18
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
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
4
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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