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Milford Nursing Center - Milford Nursing Home

General Information

UPDATE
Federal Provider Number
165402
Provider Name
MILFORD NURSING CENTER
Provider Address
1600 13TH STREET
MILFORD, IA 51351
Provider Phone Number
7123384742
Provider SSA County
290
Provider County Name
Dickinson
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAWKEYE CARE CENTERS, INC
Date First Approved to Provide Medicare and Medicaid services
1999-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.65625
Reported LPN Staffing Hours per Resident per Day
0.43646
Reported RN Staffing Hours per Resident per Day
0.82292
Reported Licensed Staffing Hours per Resident per Day
1.25938
Reported Total Nurse Staffing Hours per Resident per Day
3.91563
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05938
Expected CNA Staffing Hours per Resident per Day
2.33230
Expected LPN Staffing Hours per Resident per Day
0.59042
Expected RN Staffing Hours per Resident per Day
0.89910
Expected Total Nurse Staffing Hours per Resident per Day
3.82182
Adjusted CNA Staffing Hours per Resident per Day
2.79451
Adjusted LPN Staffing Hours per Resident per Day
0.61356
Adjusted RN Staffing Hours per Resident per Day
0.68389
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12984
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-23
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
2
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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