Lutheran Living Senior Campus - Muscatine Nursing Home

General Information

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Federal Provider Number
165432
Provider Name
LUTHERAN LIVING SENIOR CAMPUS
Provider Address
2421 LUTHERAN DRIVE
MUSCATINE, IA 52761
Provider Phone Number
(563) 263-1241
Provider SSA County
690
Provider County Name
Muscatine
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
155
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE LUTHERAN HOMES SOCIETY
Date First Approved to Provide Medicare and Medicaid services
2001-01-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
QM Rating Footnote
Staffing Rating
4
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
2.34466
Reported LPN Staffing Hours per Resident per Day
0.49924
Reported RN Staffing Hours per Resident per Day
0.66374
Reported Licensed Staffing Hours per Resident per Day
1.16298
Reported Total Nurse Staffing Hours per Resident per Day
3.50764
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08740
Expected CNA Staffing Hours per Resident per Day
2.26737
Expected LPN Staffing Hours per Resident per Day
0.60696
Expected RN Staffing Hours per Resident per Day
0.92425
Expected Total Nurse Staffing Hours per Resident per Day
3.79859
Adjusted CNA Staffing Hours per Resident per Day
2.53734
Adjusted LPN Staffing Hours per Resident per Day
0.68269
Adjusted RN Staffing Hours per Resident per Day
0.53659
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72216
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-09
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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