Heritage House - Atlantic Nursing Home

General Information

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Federal Provider Number
165561
Provider Name
HERITAGE HOUSE
Provider Address
1200 BROOKRIDGE CIRCLE
ATLANTIC, IA 50022
Provider Phone Number
(712) 243-1850
Provider SSA County
140
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESLEY RETIREMENT SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
2005-10-01
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.89569
Reported LPN Staffing Hours per Resident per Day
0.65517
Reported RN Staffing Hours per Resident per Day
0.99310
Reported Licensed Staffing Hours per Resident per Day
1.64828
Reported Total Nurse Staffing Hours per Resident per Day
4.54396
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05948
Expected CNA Staffing Hours per Resident per Day
2.33221
Expected LPN Staffing Hours per Resident per Day
0.52492
Expected RN Staffing Hours per Resident per Day
0.80648
Expected Total Nurse Staffing Hours per Resident per Day
3.66361
Adjusted CNA Staffing Hours per Resident per Day
3.04653
Adjusted LPN Staffing Hours per Resident per Day
1.03594
Adjusted RN Staffing Hours per Resident per Day
0.92010
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99950
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
119
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
119
Total Weighted Health Survey Score
38.50000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5265
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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