Hillcrest Health Care Center - Hawarden Nursing Home

General Information

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Federal Provider Number
165245
Provider Name
HILLCREST HEALTH CARE CENTER
Provider Address
2121 AVENUE L
HAWARDEN, IA 51023
Provider Phone Number
(712) 551-1074
Provider SSA County
830
Provider County Name
Sioux
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERSIDE HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-11-16
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.10175
Reported LPN Staffing Hours per Resident per Day
0.45614
Reported RN Staffing Hours per Resident per Day
0.72807
Reported Licensed Staffing Hours per Resident per Day
1.18421
Reported Total Nurse Staffing Hours per Resident per Day
3.28596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06053
Expected CNA Staffing Hours per Resident per Day
2.23662
Expected LPN Staffing Hours per Resident per Day
0.61776
Expected RN Staffing Hours per Resident per Day
0.90453
Expected Total Nurse Staffing Hours per Resident per Day
3.75891
Adjusted CNA Staffing Hours per Resident per Day
2.30574
Adjusted LPN Staffing Hours per Resident per Day
0.61285
Adjusted RN Staffing Hours per Resident per Day
0.60143
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52372
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
2013-08-15
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
119
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
119
Total Weighted Health Survey Score
48.50000
Number of Facility Reported Incidents
5
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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