Hubbard Care Center - Hubbard Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165335
Provider Name
HUBBARD CARE CENTER
Provider Address
403 SOUTH STATE STREET
HUBBARD, IA 50122
HUBBARD, IA 50122
Provider Phone Number
(641) 864-3264
Provider SSA County
410
Provider County Name
Hardin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HUBBARD CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.10769
Reported LPN Staffing Hours per Resident per Day
0.68558
Reported RN Staffing Hours per Resident per Day
0.83173
Reported Licensed Staffing Hours per Resident per Day
1.51731
Reported Total Nurse Staffing Hours per Resident per Day
3.62500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02308
Expected CNA Staffing Hours per Resident per Day
2.22733
Expected LPN Staffing Hours per Resident per Day
0.56760
Expected RN Staffing Hours per Resident per Day
0.82484
Expected Total Nurse Staffing Hours per Resident per Day
3.61977
Adjusted CNA Staffing Hours per Resident per Day
2.32190
Adjusted LPN Staffing Hours per Resident per Day
1.00252
Adjusted RN Staffing Hours per Resident per Day
0.75344
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03672
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-12-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
11.33300
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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