North Crest Living Center - Council Bluffs Nursing Home

General Information

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Federal Provider Number
165290
Provider Name
NORTH CREST LIVING CENTER
Provider Address
34 NORTHCREST DRIVE
COUNCIL BLUFFS, IA 51503
Provider Phone Number
(712) 328-2333
Provider SSA County
770
Provider County Name
Pottawattamie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NLC PARTNERS, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11696
Reported LPN Staffing Hours per Resident per Day
0.53571
Reported RN Staffing Hours per Resident per Day
0.86696
Reported Licensed Staffing Hours per Resident per Day
1.40268
Reported Total Nurse Staffing Hours per Resident per Day
3.51963
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02054
Expected CNA Staffing Hours per Resident per Day
2.28991
Expected LPN Staffing Hours per Resident per Day
0.55614
Expected RN Staffing Hours per Resident per Day
0.83845
Expected Total Nurse Staffing Hours per Resident per Day
3.68450
Adjusted CNA Staffing Hours per Resident per Day
2.26838
Adjusted LPN Staffing Hours per Resident per Day
0.79951
Adjusted RN Staffing Hours per Resident per Day
0.77261
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85053
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
5103
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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