Karen Acres Care Center - Urbandale Nursing Home

General Information

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Federal Provider Number
165460
Provider Name
KAREN ACRES CARE CENTER
Provider Address
3605 ELM DRIVE
URBANDALE, IA 50322
Provider Phone Number
(515) 276-4969
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRYSTAL INC
Date First Approved to Provide Medicare and Medicaid services
2002-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.12162
Reported LPN Staffing Hours per Resident per Day
0.03243
Reported RN Staffing Hours per Resident per Day
0.97297
Reported Licensed Staffing Hours per Resident per Day
1.00541
Reported Total Nurse Staffing Hours per Resident per Day
3.12702
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01486
Expected CNA Staffing Hours per Resident per Day
2.40866
Expected LPN Staffing Hours per Resident per Day
0.50804
Expected RN Staffing Hours per Resident per Day
0.78147
Expected Total Nurse Staffing Hours per Resident per Day
3.69817
Adjusted CNA Staffing Hours per Resident per Day
2.16129
Adjusted LPN Staffing Hours per Resident per Day
0.05298
Adjusted RN Staffing Hours per Resident per Day
0.93030
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40836
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
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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