Mount Ayr Health Care Center - Mount Ayr Nursing Home

General Information

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Federal Provider Number
165224
Provider Name
MOUNT AYR HEALTH CARE CENTER
Provider Address
1504 EAST SOUTH STREET
MOUNT AYR, IA 50854
Provider Phone Number
(641) 464-3204
Provider SSA County
790
Provider County Name
Ringgold
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
R.M.H. INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1994-07-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08837
Reported LPN Staffing Hours per Resident per Day
0.74070
Reported RN Staffing Hours per Resident per Day
0.42791
Reported Licensed Staffing Hours per Resident per Day
1.16860
Reported Total Nurse Staffing Hours per Resident per Day
3.25698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06512
Expected CNA Staffing Hours per Resident per Day
2.35520
Expected LPN Staffing Hours per Resident per Day
0.61899
Expected RN Staffing Hours per Resident per Day
1.12310
Expected Total Nurse Staffing Hours per Resident per Day
4.09729
Adjusted CNA Staffing Hours per Resident per Day
2.17571
Adjusted LPN Staffing Hours per Resident per Day
0.99320
Adjusted RN Staffing Hours per Resident per Day
0.28469
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20420
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-02-28
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
4.66700
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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