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Nelson Manor - Newton Nursing Home

General Information

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Federal Provider Number
165521
Provider Name
NELSON MANOR
Provider Address
1500 FIRST AVENUE EAST
NEWTON, IA 50208
Provider Phone Number
(641) 792-1443
Provider SSA County
490
Provider County Name
Jasper
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
36
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NELSON MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
2004-04-26
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
4
QM Rating Footnote
Staffing Rating
2
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
1.58382
Reported LPN Staffing Hours per Resident per Day
0.62647
Reported RN Staffing Hours per Resident per Day
0.42059
Reported Licensed Staffing Hours per Resident per Day
1.04706
Reported Total Nurse Staffing Hours per Resident per Day
2.63088
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01324
Expected CNA Staffing Hours per Resident per Day
2.07189
Expected LPN Staffing Hours per Resident per Day
0.53560
Expected RN Staffing Hours per Resident per Day
0.76608
Expected Total Nurse Staffing Hours per Resident per Day
3.37357
Adjusted CNA Staffing Hours per Resident per Day
1.87569
Adjusted LPN Staffing Hours per Resident per Day
0.97082
Adjusted RN Staffing Hours per Resident per Day
0.41023
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14350
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
12
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-01-24
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
8
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
7.33300
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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