Manorcare Health Services-utica Ridge - Davenport Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165575
Provider Name
MANORCARE HEALTH SERVICES-UTICA RIDGE
Provider Address
3800 COMMERCE BLVD
DAVENPORT, IA 52807
DAVENPORT, IA 52807
Provider Phone Number
(563) 344-2000
Provider SSA County
810
Provider County Name
Scott
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANORCARE HEALTH SERVICES LLC
Date First Approved to Provide Medicare and Medicaid services
2009-02-09
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23398
Reported LPN Staffing Hours per Resident per Day
0.62427
Reported RN Staffing Hours per Resident per Day
1.39951
Reported Licensed Staffing Hours per Resident per Day
2.02379
Reported Total Nurse Staffing Hours per Resident per Day
4.25776
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18835
Expected CNA Staffing Hours per Resident per Day
2.50568
Expected LPN Staffing Hours per Resident per Day
0.67674
Expected RN Staffing Hours per Resident per Day
1.23114
Expected Total Nurse Staffing Hours per Resident per Day
4.41357
Adjusted CNA Staffing Hours per Resident per Day
2.18763
Adjusted LPN Staffing Hours per Resident per Day
0.76564
Adjusted RN Staffing Hours per Resident per Day
0.84939
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88860
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
10
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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