Henry County Health Center - Mount Pleasant Nursing Home

General Information

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Federal Provider Number
165147
Provider Name
HENRY COUNTY HEALTH CENTER
Provider Address
401 SOUTH VAN BUREN
MOUNT PLEASANT, IA 52641
Provider Phone Number
(319) 385-6192
Provider SSA County
430
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
49
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1989-01-16
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.86250
Reported LPN Staffing Hours per Resident per Day
0.32083
Reported RN Staffing Hours per Resident per Day
0.85729
Reported Licensed Staffing Hours per Resident per Day
1.17813
Reported Total Nurse Staffing Hours per Resident per Day
3.04062
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00625
Expected CNA Staffing Hours per Resident per Day
2.45429
Expected LPN Staffing Hours per Resident per Day
0.53858
Expected RN Staffing Hours per Resident per Day
0.76102
Expected Total Nurse Staffing Hours per Resident per Day
3.75389
Adjusted CNA Staffing Hours per Resident per Day
1.86205
Adjusted LPN Staffing Hours per Resident per Day
0.49443
Adjusted RN Staffing Hours per Resident per Day
0.84172
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26500
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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