Longhouse-northshire, Ltd - Spencer Nursing Home

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Federal Provider Number
165449
Provider Name
LONGHOUSE-NORTHSHIRE, LTD
Provider Address
711 WEST 11TH STREET
SPENCER, IA 51301
Provider Phone Number
(712) 262-2344
Provider SSA County
200
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LONGHOUSE-NORTHSHIRE, LTD
Date First Approved to Provide Medicare and Medicaid services
2002-07-18
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.31378
Reported LPN Staffing Hours per Resident per Day
0.23827
Reported RN Staffing Hours per Resident per Day
0.79337
Reported Licensed Staffing Hours per Resident per Day
1.03163
Reported Total Nurse Staffing Hours per Resident per Day
3.34542
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05306
Expected CNA Staffing Hours per Resident per Day
2.22105
Expected LPN Staffing Hours per Resident per Day
0.56896
Expected RN Staffing Hours per Resident per Day
0.80273
Expected Total Nurse Staffing Hours per Resident per Day
3.59275
Adjusted CNA Staffing Hours per Resident per Day
2.55614
Adjusted LPN Staffing Hours per Resident per Day
0.34759
Adjusted RN Staffing Hours per Resident per Day
0.73848
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75341
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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