Manorcare Health Services -west Des Moines - West Des Moines Nursing Home
General Information
UPDATEFederal Provider Number
165601
Provider Name
MANORCARE HEALTH SERVICES -WEST DES MOINES
Provider Address
5010 GRAND RIDGE DRIVE
WEST DES MOINES, IA 50265
WEST DES MOINES, IA 50265
Provider Phone Number
(515) 222-5991
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF WEST DES MOINES IA LLC
Date First Approved to Provide Medicare and Medicaid services
2010-07-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32431
Reported LPN Staffing Hours per Resident per Day
0.76881
Reported RN Staffing Hours per Resident per Day
0.95321
Reported Licensed Staffing Hours per Resident per Day
1.72202
Reported Total Nurse Staffing Hours per Resident per Day
4.04633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25183
Expected CNA Staffing Hours per Resident per Day
2.60886
Expected LPN Staffing Hours per Resident per Day
0.69648
Expected RN Staffing Hours per Resident per Day
1.16290
Expected Total Nurse Staffing Hours per Resident per Day
4.46824
Adjusted CNA Staffing Hours per Resident per Day
2.18607
Adjusted LPN Staffing Hours per Resident per Day
0.91620
Adjusted RN Staffing Hours per Resident per Day
0.61247
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65029
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
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
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
16
Cycle 3 Health Deficiency Score
176
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
176
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
36
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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