Hegg Memorial Health Center - Rock Valley Nursing Home

General Information

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Federal Provider Number
16E637
Provider Name
HEGG MEMORIAL HEALTH CENTER
Provider Address
2116 14TH STREET
ROCK VALLEY, IA 51247
Provider Phone Number
(712) 476-8200
Provider SSA County
830
Provider County Name
Sioux
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
60
Number of Residents in Certified Beds
59
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
2.49322
Reported LPN Staffing Hours per Resident per Day
0.49915
Reported RN Staffing Hours per Resident per Day
0.77288
Reported Licensed Staffing Hours per Resident per Day
1.27203
Reported Total Nurse Staffing Hours per Resident per Day
3.76525
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.14503
Expected LPN Staffing Hours per Resident per Day
0.54025
Expected RN Staffing Hours per Resident per Day
0.69938
Expected Total Nurse Staffing Hours per Resident per Day
3.38465
Adjusted CNA Staffing Hours per Resident per Day
2.85200
Adjusted LPN Staffing Hours per Resident per Day
0.76686
Adjusted RN Staffing Hours per Resident per Day
0.82573
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48417
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
40
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-10
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
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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