Lexington Square - Keokuk Nursing Home
General Information
UPDATEFederal Provider Number
165151
Provider Name
LEXINGTON SQUARE
Provider Address
500 MESSENGER ROAD
KEOKUK, IA 52632
KEOKUK, IA 52632
Provider Phone Number
(319) 524-5321
Provider SSA County
550
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
126
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEXINGTON SQUARE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-25
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
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.73226
Reported LPN Staffing Hours per Resident per Day
0.84301
Reported RN Staffing Hours per Resident per Day
0.65484
Reported Licensed Staffing Hours per Resident per Day
1.49785
Reported Total Nurse Staffing Hours per Resident per Day
3.23011
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06989
Expected CNA Staffing Hours per Resident per Day
2.35196
Expected LPN Staffing Hours per Resident per Day
0.76666
Expected RN Staffing Hours per Resident per Day
1.20209
Expected Total Nurse Staffing Hours per Resident per Day
4.32072
Adjusted CNA Staffing Hours per Resident per Day
1.80719
Adjusted LPN Staffing Hours per Resident per Day
0.91266
Adjusted RN Staffing Hours per Resident per Day
0.40704
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01345
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
155
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
155
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
169
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
169
Total Weighted Health Survey Score
116.33300
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
18
Number of Fines
2
Total Amount of Fines in Dollars
34451
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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