Harmony House Health Care Cent - Waterloo Nursing Home

General Information

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Federal Provider Number
165152
Provider Name
HARMONY HOUSE HEALTH CARE CENT
Provider Address
2950 WEST SHAULIS ROAD
WATERLOO, IA 50701
Provider Phone Number
(319) 234-4495
Provider SSA County
60
Provider County Name
Black Hawk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ABCM CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1989-03-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
3.16000
Reported LPN Staffing Hours per Resident per Day
1.31923
Reported RN Staffing Hours per Resident per Day
0.92154
Reported Licensed Staffing Hours per Resident per Day
2.24077
Reported Total Nurse Staffing Hours per Resident per Day
5.40077
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01000
Expected CNA Staffing Hours per Resident per Day
2.38841
Expected LPN Staffing Hours per Resident per Day
0.82636
Expected RN Staffing Hours per Resident per Day
1.16530
Expected Total Nurse Staffing Hours per Resident per Day
4.38007
Adjusted CNA Staffing Hours per Resident per Day
3.24638
Adjusted LPN Staffing Hours per Resident per Day
1.32504
Adjusted RN Staffing Hours per Resident per Day
0.59090
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97023
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
99
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
99
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
50.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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