Mercy Hospital - Iowa City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165136
Provider Name
MERCY HOSPITAL
Provider Address
500 EAST MARKET STREET
IOWA CITY, IA 52240
IOWA CITY, IA 52240
Provider Phone Number
(319) 339-0300
Provider SSA County
510
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
5
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
MERCY HOSPITAL IOWA CITY IOWA
Date First Approved to Provide Medicare and Medicaid services
1987-01-21
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.37000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
8.79000
Reported Licensed Staffing Hours per Resident per Day
8.79000
Reported Total Nurse Staffing Hours per Resident per Day
10.16000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34000
Expected CNA Staffing Hours per Resident per Day
2.45108
Expected LPN Staffing Hours per Resident per Day
1.04462
Expected RN Staffing Hours per Resident per Day
2.77688
Expected Total Nurse Staffing Hours per Resident per Day
6.27258
Adjusted CNA Staffing Hours per Resident per Day
1.37146
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
2.36520
Adjusted Total Nurse Staffing Hours per Resident per Day
6.52904
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-11-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.00000
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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