Madrid Home For The Aged - Madrid Nursing Home
General Information
UPDATEFederal Provider Number
165118
Provider Name
MADRID HOME FOR THE AGED
Provider Address
613 WEST NORTH STREET
MADRID, IA 50156
MADRID, IA 50156
Provider Phone Number
5157953007
Provider SSA County
70
Provider County Name
Boone
Ownership Type
Non profit - Church related
Number of Certified Beds
155
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MADRID HOME FOR THE AGING
Date First Approved to Provide Medicare and Medicaid services
1983-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
3.02752
Reported LPN Staffing Hours per Resident per Day
0.20275
Reported RN Staffing Hours per Resident per Day
0.57064
Reported Licensed Staffing Hours per Resident per Day
0.77339
Reported Total Nurse Staffing Hours per Resident per Day
3.80091
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04725
Expected CNA Staffing Hours per Resident per Day
2.46882
Expected LPN Staffing Hours per Resident per Day
0.54741
Expected RN Staffing Hours per Resident per Day
0.81389
Expected Total Nurse Staffing Hours per Resident per Day
3.83012
Adjusted CNA Staffing Hours per Resident per Day
3.00898
Adjusted LPN Staffing Hours per Resident per Day
0.30742
Adjusted RN Staffing Hours per Resident per Day
0.52388
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00016
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
205
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
205
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
28
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
123.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
12480
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Boone County Hospital
1015 Union Street |
BOONE IA 50036 | 12.6 miles away
Westhaven Community
112 West Fourth Street |
BOONE IA 50036 | 13 miles away
Eastern Star Masonic Home
715 West Third Street |
BOONE IA 50036 | 13.1 miles away
Ogden Manor
625 East Oak Street |
OGDEN IA 50212 | 14.7 miles away
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