Mercy Living Center South - Clinton Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165119
Provider Name
MERCY LIVING CENTER SOUTH
Provider Address
638 SOUTH BLUFF BOULEVARD
CLINTON, IA 52732
CLINTON, IA 52732
Provider Phone Number
(563) 244-5555
Provider SSA County
220
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MERCY MEDICAL CENTER CLINTON INC
Date First Approved to Provide Medicare and Medicaid services
1984-03-09
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.10920
Reported LPN Staffing Hours per Resident per Day
0.24655
Reported RN Staffing Hours per Resident per Day
1.28218
Reported Licensed Staffing Hours per Resident per Day
1.52874
Reported Total Nurse Staffing Hours per Resident per Day
3.63793
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09943
Expected CNA Staffing Hours per Resident per Day
2.59993
Expected LPN Staffing Hours per Resident per Day
0.69817
Expected RN Staffing Hours per Resident per Day
1.13257
Expected Total Nurse Staffing Hours per Resident per Day
4.43066
Adjusted CNA Staffing Hours per Resident per Day
1.99057
Adjusted LPN Staffing Hours per Resident per Day
0.29311
Adjusted RN Staffing Hours per Resident per Day
0.84590
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30969
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
16
Cycle 2 Standard Health Survey Date
2013-11-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
34.66700
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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