Manor House Care Center - Sigourney Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165325
Provider Name
MANOR HOUSE CARE CENTER
Provider Address
1212 SOUTH STUART STREET
SIGOURNEY, IA 52591
SIGOURNEY, IA 52591
Provider Phone Number
(641) 622-2142
Provider SSA County
530
Provider County Name
Keokuk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ABCM CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1997-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.33646
Reported LPN Staffing Hours per Resident per Day
0.62292
Reported RN Staffing Hours per Resident per Day
0.75417
Reported Licensed Staffing Hours per Resident per Day
1.37708
Reported Total Nurse Staffing Hours per Resident per Day
3.71355
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00938
Expected CNA Staffing Hours per Resident per Day
2.42379
Expected LPN Staffing Hours per Resident per Day
0.56751
Expected RN Staffing Hours per Resident per Day
0.81010
Expected Total Nurse Staffing Hours per Resident per Day
3.80139
Adjusted CNA Staffing Hours per Resident per Day
2.36530
Adjusted LPN Staffing Hours per Resident per Day
0.91104
Adjusted RN Staffing Hours per Resident per Day
0.69562
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93775
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.66700
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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