Lyon Manor Nursing & Rehab Ctr - Rock Rapids Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165215
Provider Name
LYON MANOR NURSING & REHAB CTR
Provider Address
1010 SOUTH UNION
ROCK RAPIDS, IA 51246
ROCK RAPIDS, IA 51246
Provider Phone Number
(712) 472-3748
Provider SSA County
590
Provider County Name
Lyon
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
34
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
1994-04-18
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.03529
Reported LPN Staffing Hours per Resident per Day
0.61324
Reported RN Staffing Hours per Resident per Day
0.55147
Reported Licensed Staffing Hours per Resident per Day
1.16471
Reported Total Nurse Staffing Hours per Resident per Day
3.20000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.46670
Expected LPN Staffing Hours per Resident per Day
0.51239
Expected RN Staffing Hours per Resident per Day
0.66070
Expected Total Nurse Staffing Hours per Resident per Day
3.63979
Adjusted CNA Staffing Hours per Resident per Day
2.02456
Adjusted LPN Staffing Hours per Resident per Day
0.99337
Adjusted RN Staffing Hours per Resident per Day
0.62367
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54385
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
2014-07-31
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
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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