Meth-wick Health Center - Cedar Rapids Nursing Home
General Information
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Federal Provider Number
165542
Provider Name
METH-WICK HEALTH CENTER
Provider Address
1224 13TH STREET NW
CEDAR RAPIDS, IA 52405
CEDAR RAPIDS, IA 52405
Provider Phone Number
(319) 365-9171
Provider SSA County
560
Provider County Name
Linn
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
METH WICK COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
2004-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.35806
Reported LPN Staffing Hours per Resident per Day
0.32177
Reported RN Staffing Hours per Resident per Day
0.82903
Reported Licensed Staffing Hours per Resident per Day
1.15081
Reported Total Nurse Staffing Hours per Resident per Day
3.50886
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04355
Expected CNA Staffing Hours per Resident per Day
2.45389
Expected LPN Staffing Hours per Resident per Day
0.57566
Expected RN Staffing Hours per Resident per Day
0.87802
Expected Total Nurse Staffing Hours per Resident per Day
3.90757
Adjusted CNA Staffing Hours per Resident per Day
2.35788
Adjusted LPN Staffing Hours per Resident per Day
0.46393
Adjusted RN Staffing Hours per Resident per Day
0.70551
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61961
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
2014-10-16
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
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
111
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
111
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
4
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
47.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
10465
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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