Maple Manor Village - Aplington Nursing Home

General Information

UPDATE
Federal Provider Number
165346
Provider Name
MAPLE MANOR VILLAGE
Provider Address
345 PARROTT ST
APLINGTON, IA 50604
Provider Phone Number
3193472309
Provider SSA County
110
Provider County Name
Butler
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ABCM CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1997-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.35606
Reported LPN Staffing Hours per Resident per Day
1.10606
Reported RN Staffing Hours per Resident per Day
0.94394
Reported Licensed Staffing Hours per Resident per Day
2.05000
Reported Total Nurse Staffing Hours per Resident per Day
4.40606
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.29993
Expected LPN Staffing Hours per Resident per Day
0.54659
Expected RN Staffing Hours per Resident per Day
0.79037
Expected Total Nurse Staffing Hours per Resident per Day
3.63689
Adjusted CNA Staffing Hours per Resident per Day
2.51358
Adjusted LPN Staffing Hours per Resident per Day
1.67956
Adjusted RN Staffing Hours per Resident per Day
0.89239
Adjusted Total Nurse Staffing Hours per Resident per Day
4.88341
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
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
48
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
26.00000
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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