Midlands Living Center L L C - Council Bluffs Nursing Home

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Federal Provider Number
165447
Provider Name
MIDLANDS LIVING CENTER L L C
Provider Address
2452 NORTH BROADWAY
COUNCIL BLUFFS, IA 51503
Provider Phone Number
(712) 323-7135
Provider SSA County
770
Provider County Name
Pottawattamie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDLANDS LIVING CENTER, L.L.P.
Date First Approved to Provide Medicare and Medicaid services
2001-10-22
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.17593
Reported LPN Staffing Hours per Resident per Day
1.04259
Reported RN Staffing Hours per Resident per Day
0.68025
Reported Licensed Staffing Hours per Resident per Day
1.72284
Reported Total Nurse Staffing Hours per Resident per Day
3.89877
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02037
Expected CNA Staffing Hours per Resident per Day
2.17537
Expected LPN Staffing Hours per Resident per Day
0.56452
Expected RN Staffing Hours per Resident per Day
0.87923
Expected Total Nurse Staffing Hours per Resident per Day
3.61912
Adjusted CNA Staffing Hours per Resident per Day
2.45433
Adjusted LPN Staffing Hours per Resident per Day
1.53289
Adjusted RN Staffing Hours per Resident per Day
0.57810
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34237
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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