Iowa Lutheran Hospital - Des Moines Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165130
Provider Name
IOWA LUTHERAN HOSPITAL
Provider Address
700 EAST UNIVERSITY
DES MOINES, IA 50316
DES MOINES, IA 50316
Provider Phone Number
(515) 263-5134
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
13
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
CENTRAL IOWA HOSPITAL CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1985-02-07
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.12692
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
3.51538
Reported Licensed Staffing Hours per Resident per Day
3.51538
Reported Total Nurse Staffing Hours per Resident per Day
4.64230
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16538
Expected CNA Staffing Hours per Resident per Day
2.25947
Expected LPN Staffing Hours per Resident per Day
0.67945
Expected RN Staffing Hours per Resident per Day
1.78402
Expected Total Nurse Staffing Hours per Resident per Day
4.72294
Adjusted CNA Staffing Hours per Resident per Day
1.22379
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.47235
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96208
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
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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