Manorcare Health Services - Davenport Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165033
Provider Name
MANORCARE HEALTH SERVICES
Provider Address
815 EAST LOCUST STREET
DAVENPORT, IA 52803
DAVENPORT, IA 52803
Provider Phone Number
(563) 324-3276
Provider SSA County
810
Provider County Name
Scott
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 DAVENPORT IA LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-06
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19138
Reported LPN Staffing Hours per Resident per Day
0.79713
Reported RN Staffing Hours per Resident per Day
0.63966
Reported Licensed Staffing Hours per Resident per Day
1.43678
Reported Total Nurse Staffing Hours per Resident per Day
3.62817
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05230
Expected CNA Staffing Hours per Resident per Day
2.39969
Expected LPN Staffing Hours per Resident per Day
0.64916
Expected RN Staffing Hours per Resident per Day
1.00909
Expected Total Nurse Staffing Hours per Resident per Day
4.05793
Adjusted CNA Staffing Hours per Resident per Day
2.24070
Adjusted LPN Staffing Hours per Resident per Day
1.01920
Adjusted RN Staffing Hours per Resident per Day
0.47365
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60400
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
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
24
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-03-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
9
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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