Lamoni Nursing & Rehab Center - Lamoni Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165314
Provider Name
LAMONI NURSING & REHAB CENTER
Provider Address
215 SOUTH OAK STREET
LAMONI, IA 50140
LAMONI, IA 50140
Provider Phone Number
(641) 784-3388
Provider SSA County
260
Provider County Name
Decatur
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1996-12-11
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.09531
Reported LPN Staffing Hours per Resident per Day
0.48281
Reported RN Staffing Hours per Resident per Day
0.76406
Reported Licensed Staffing Hours per Resident per Day
1.24688
Reported Total Nurse Staffing Hours per Resident per Day
3.34218
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08906
Expected CNA Staffing Hours per Resident per Day
2.48131
Expected LPN Staffing Hours per Resident per Day
0.56883
Expected RN Staffing Hours per Resident per Day
0.85136
Expected Total Nurse Staffing Hours per Resident per Day
3.90149
Adjusted CNA Staffing Hours per Resident per Day
2.07200
Adjusted LPN Staffing Hours per Resident per Day
0.70449
Adjusted RN Staffing Hours per Resident per Day
0.67058
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45304
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-02-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
8.66700
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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