Iowa City Rehab & Health Care - Iowa City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165198
Provider Name
IOWA CITY REHAB & HEALTH CARE
Provider Address
3661 ROCHESTER AVENUE
IOWA CITY, IA 52245
IOWA CITY, IA 52245
Provider Phone Number
(319) 351-7460
Provider SSA County
510
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
1.85859
Reported LPN Staffing Hours per Resident per Day
0.55469
Reported RN Staffing Hours per Resident per Day
0.72578
Reported Licensed Staffing Hours per Resident per Day
1.28047
Reported Total Nurse Staffing Hours per Resident per Day
3.13906
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03125
Expected CNA Staffing Hours per Resident per Day
2.25983
Expected LPN Staffing Hours per Resident per Day
0.59497
Expected RN Staffing Hours per Resident per Day
0.88721
Expected Total Nurse Staffing Hours per Resident per Day
3.74201
Adjusted CNA Staffing Hours per Resident per Day
2.01804
Adjusted LPN Staffing Hours per Resident per Day
0.77380
Adjusted RN Staffing Hours per Resident per Day
0.61125
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38140
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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