Mason City Area Nursing Home - Mason City Nursing Home
General Information
UPDATEFederal Provider Number
145616
Provider Name
MASON CITY AREA NURSING HOME
Provider Address
520 NORTH PRICE AVENUE
MASON CITY, IL 62664
MASON CITY, IL 62664
Provider Phone Number
(217) 482-5022
Provider SSA County
710
Provider County Name
Mason
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MASON CITY AREA NURSING ASSOCIATION, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-05-30
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
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.36864
Reported LPN Staffing Hours per Resident per Day
0.84407
Reported RN Staffing Hours per Resident per Day
0.73898
Reported Licensed Staffing Hours per Resident per Day
1.58305
Reported Total Nurse Staffing Hours per Resident per Day
3.95169
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02458
Expected CNA Staffing Hours per Resident per Day
2.36661
Expected LPN Staffing Hours per Resident per Day
0.57146
Expected RN Staffing Hours per Resident per Day
0.85308
Expected Total Nurse Staffing Hours per Resident per Day
3.79115
Adjusted CNA Staffing Hours per Resident per Day
2.45581
Adjusted LPN Staffing Hours per Resident per Day
1.22594
Adjusted RN Staffing Hours per Resident per Day
0.64726
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20159
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-10-18
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
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
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
13.33300
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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