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Manorcare Health Services - Cedar Rapids Nursing Home

General Information

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Federal Provider Number
165017
Provider Name
MANORCARE HEALTH SERVICES
Provider Address
1940 FIRST AVENUE NE
CEDAR RAPIDS, IA 52402
Provider Phone Number
(319) 364-5151
Provider SSA County
560
Provider County Name
Linn
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF CEDAR RAPIDS IA LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10920
Reported LPN Staffing Hours per Resident per Day
0.65172
Reported RN Staffing Hours per Resident per Day
0.27414
Reported Licensed Staffing Hours per Resident per Day
0.92586
Reported Total Nurse Staffing Hours per Resident per Day
3.03506
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15690
Expected CNA Staffing Hours per Resident per Day
2.62205
Expected LPN Staffing Hours per Resident per Day
0.71635
Expected RN Staffing Hours per Resident per Day
1.24960
Expected Total Nurse Staffing Hours per Resident per Day
4.58800
Adjusted CNA Staffing Hours per Resident per Day
1.97378
Adjusted LPN Staffing Hours per Resident per Day
0.75511
Adjusted RN Staffing Hours per Resident per Day
0.16392
Adjusted Total Nurse Staffing Hours per Resident per Day
2.66653
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-01-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
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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