Kahl Home For The Aged & Infirmed - Davenport Nursing Home

General Information

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Federal Provider Number
165146
Provider Name
KAHL HOME FOR THE AGED & INFIRMED
Provider Address
6701 JERSEY RIDGE ROAD
DAVENPORT, IA 52807
Provider Phone Number
(563) 324-1621
Provider SSA County
810
Provider County Name
Scott
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KAHL HOME FOR THE AGED & INFIRM
Date First Approved to Provide Medicare and Medicaid services
1989-01-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
3.28711
Reported LPN Staffing Hours per Resident per Day
0.77383
Reported RN Staffing Hours per Resident per Day
1.02305
Reported Licensed Staffing Hours per Resident per Day
1.79688
Reported Total Nurse Staffing Hours per Resident per Day
5.08399
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02773
Expected CNA Staffing Hours per Resident per Day
2.53834
Expected LPN Staffing Hours per Resident per Day
0.58898
Expected RN Staffing Hours per Resident per Day
0.90643
Expected Total Nurse Staffing Hours per Resident per Day
4.03375
Adjusted CNA Staffing Hours per Resident per Day
3.17750
Adjusted LPN Staffing Hours per Resident per Day
1.09050
Adjusted RN Staffing Hours per Resident per Day
0.84334
Adjusted Total Nurse Staffing Hours per Resident per Day
5.08040
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-31
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
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-05-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
2860
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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