Iowa Park Healthcare Center - Iowa Park Nursing Home
General Information
UPDATEFederal Provider Number
675483
Provider Name
IOWA PARK HEALTHCARE CENTER
Provider Address
1109 N THIRD ST
IOWA PARK, TX 76367
IOWA PARK, TX 76367
Provider Phone Number
(940) 592-4139
Provider SSA County
960
Provider County Name
Wichita
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IOWA PARK LLC
Date First Approved to Provide Medicare and Medicaid services
1995-04-27
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
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.14375
Reported LPN Staffing Hours per Resident per Day
0.73281
Reported RN Staffing Hours per Resident per Day
0.33906
Reported Licensed Staffing Hours per Resident per Day
1.07188
Reported Total Nurse Staffing Hours per Resident per Day
2.21562
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.23754
Expected LPN Staffing Hours per Resident per Day
0.61709
Expected RN Staffing Hours per Resident per Day
1.15174
Expected Total Nurse Staffing Hours per Resident per Day
4.00637
Adjusted CNA Staffing Hours per Resident per Day
1.25424
Adjusted LPN Staffing Hours per Resident per Day
0.98565
Adjusted RN Staffing Hours per Resident per Day
0.21997
Adjusted Total Nurse Staffing Hours per Resident per Day
2.22918
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
273
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
273
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
24
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
147.83300
Number of Facility Reported Incidents
1
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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