Maple Heights - Mapleton Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165267
Provider Name
MAPLE HEIGHTS
Provider Address
2 SUNRISE AVENUE
MAPLETON, IA 51034
MAPLETON, IA 51034
Provider Phone Number
(712) 881-1680
Provider SSA County
660
Provider County Name
Monona
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLETON PROGRESS INC
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.05328
Reported LPN Staffing Hours per Resident per Day
0.62705
Reported RN Staffing Hours per Resident per Day
0.64344
Reported Licensed Staffing Hours per Resident per Day
1.27049
Reported Total Nurse Staffing Hours per Resident per Day
3.32377
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05984
Expected CNA Staffing Hours per Resident per Day
2.19332
Expected LPN Staffing Hours per Resident per Day
0.57953
Expected RN Staffing Hours per Resident per Day
0.93922
Expected Total Nurse Staffing Hours per Resident per Day
3.71206
Adjusted CNA Staffing Hours per Resident per Day
2.29704
Adjusted LPN Staffing Hours per Resident per Day
0.89806
Adjusted RN Staffing Hours per Resident per Day
0.51189
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60926
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
12
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
23.33300
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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