Mayflower Home - Grinnell Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165481
Provider Name
MAYFLOWER HOME
Provider Address
616 BROAD STREET
GRINNELL, IA 50112
GRINNELL, IA 50112
Provider Phone Number
(641) 236-6151
Provider SSA County
780
Provider County Name
Poweshiek
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAYFLOWER HOME INC
Date First Approved to Provide Medicare and Medicaid services
2003-01-01
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.51667
Reported LPN Staffing Hours per Resident per Day
0.60196
Reported RN Staffing Hours per Resident per Day
0.70882
Reported Licensed Staffing Hours per Resident per Day
1.31078
Reported Total Nurse Staffing Hours per Resident per Day
3.82745
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00686
Expected CNA Staffing Hours per Resident per Day
2.47872
Expected LPN Staffing Hours per Resident per Day
0.55634
Expected RN Staffing Hours per Resident per Day
0.85684
Expected Total Nurse Staffing Hours per Resident per Day
3.89191
Adjusted CNA Staffing Hours per Resident per Day
2.49126
Adjusted LPN Staffing Hours per Resident per Day
0.89806
Adjusted RN Staffing Hours per Resident per Day
0.61812
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96414
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-21
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
1
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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