Hilltop Care Center - Spirit Lake Nursing Home

General Information

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Federal Provider Number
165528
Provider Name
HILLTOP CARE CENTER
Provider Address
1912 ZENITH AVENUE
SPIRIT LAKE, IA 51360
Provider Phone Number
(712) 336-3300
Provider SSA County
290
Provider County Name
Dickinson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAWKEYE CARE CENTER OF SPIRIT LAKE, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-04-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.30787
Reported LPN Staffing Hours per Resident per Day
0.21011
Reported RN Staffing Hours per Resident per Day
1.00337
Reported Licensed Staffing Hours per Resident per Day
1.21348
Reported Total Nurse Staffing Hours per Resident per Day
3.52135
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06236
Expected CNA Staffing Hours per Resident per Day
2.52675
Expected LPN Staffing Hours per Resident per Day
0.61099
Expected RN Staffing Hours per Resident per Day
0.94174
Expected Total Nurse Staffing Hours per Resident per Day
4.07948
Adjusted CNA Staffing Hours per Resident per Day
2.24114
Adjusted LPN Staffing Hours per Resident per Day
0.28543
Adjusted RN Staffing Hours per Resident per Day
0.79610
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47941
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
194
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
194
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
117.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
34160
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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