New London Nursing & Rehab Cen - New London Nursing Home

General Information

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Federal Provider Number
165404
Provider Name
NEW LONDON NURSING & REHAB CEN
Provider Address
100 CARE CENTER CIRCLE STREET
NEW LONDON, IA 52645
Provider Phone Number
(319) 367-5753
Provider SSA County
430
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1999-01-01
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
3
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
1.97763
Reported LPN Staffing Hours per Resident per Day
0.45789
Reported RN Staffing Hours per Resident per Day
0.55000
Reported Licensed Staffing Hours per Resident per Day
1.00789
Reported Total Nurse Staffing Hours per Resident per Day
2.98552
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02763
Expected CNA Staffing Hours per Resident per Day
2.42961
Expected LPN Staffing Hours per Resident per Day
0.64118
Expected RN Staffing Hours per Resident per Day
0.99574
Expected Total Nurse Staffing Hours per Resident per Day
4.06653
Adjusted CNA Staffing Hours per Resident per Day
1.99724
Adjusted LPN Staffing Hours per Resident per Day
0.59274
Adjusted RN Staffing Hours per Resident per Day
0.41272
Adjusted Total Nurse Staffing Hours per Resident per Day
2.95936
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-01-19
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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