Northern Mahaska Nursing And Rehab - Oskaloosa Nursing Home

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Federal Provider Number
165274
Provider Name
NORTHERN MAHASKA NURSING AND REHAB
Provider Address
2401 CRESTVIEW DRIVE
OSKALOOSA, IA 52577
Provider Phone Number
(641) 673-3000
Provider SSA County
610
Provider County Name
Mahaska
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
60
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
1996-04-05
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
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96417
Reported LPN Staffing Hours per Resident per Day
0.36583
Reported RN Staffing Hours per Resident per Day
0.69000
Reported Licensed Staffing Hours per Resident per Day
1.05583
Reported Total Nurse Staffing Hours per Resident per Day
3.02000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03000
Expected CNA Staffing Hours per Resident per Day
2.41078
Expected LPN Staffing Hours per Resident per Day
0.53275
Expected RN Staffing Hours per Resident per Day
0.79860
Expected Total Nurse Staffing Hours per Resident per Day
3.74213
Adjusted CNA Staffing Hours per Resident per Day
1.99914
Adjusted LPN Staffing Hours per Resident per Day
0.56995
Adjusted RN Staffing Hours per Resident per Day
0.64559
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25305
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-05
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
2
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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