Monticello Nursing & Rehab Cen - Monticello Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165279
Provider Name
MONTICELLO NURSING & REHAB CEN
Provider Address
500 PINEHAVEN DRIVE
MONTICELLO, IA 52310
MONTICELLO, IA 52310
Provider Phone Number
(319) 465-5415
Provider SSA County
520
Provider County Name
Jones
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTICELLO NURSING HOME COMPANY
Date First Approved to Provide Medicare and Medicaid services
1996-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07944
Reported LPN Staffing Hours per Resident per Day
0.42056
Reported RN Staffing Hours per Resident per Day
0.59333
Reported Licensed Staffing Hours per Resident per Day
1.01389
Reported Total Nurse Staffing Hours per Resident per Day
3.09333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03500
Expected CNA Staffing Hours per Resident per Day
2.20959
Expected LPN Staffing Hours per Resident per Day
0.63787
Expected RN Staffing Hours per Resident per Day
0.95770
Expected Total Nurse Staffing Hours per Resident per Day
3.80516
Adjusted CNA Staffing Hours per Resident per Day
2.30917
Adjusted LPN Staffing Hours per Resident per Day
0.54723
Adjusted RN Staffing Hours per Resident per Day
0.46292
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27684
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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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