Norwalk Nursing And Rehabilitation Center - Norwalk Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165179
Provider Name
NORWALK NURSING AND REHABILITATION CENTER
Provider Address
921 SUNSET DRIVE
NORWALK, IA 50211
NORWALK, IA 50211
Provider Phone Number
(515) 981-0604
Provider SSA County
900
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XVII LP
Date First Approved to Provide Medicare and Medicaid services
1992-10-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.30125
Reported LPN Staffing Hours per Resident per Day
0.81750
Reported RN Staffing Hours per Resident per Day
0.81750
Reported Licensed Staffing Hours per Resident per Day
1.63500
Reported Total Nurse Staffing Hours per Resident per Day
3.93625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02375
Expected CNA Staffing Hours per Resident per Day
2.49320
Expected LPN Staffing Hours per Resident per Day
0.62746
Expected RN Staffing Hours per Resident per Day
1.15383
Expected Total Nurse Staffing Hours per Resident per Day
4.27449
Adjusted CNA Staffing Hours per Resident per Day
2.26479
Adjusted LPN Staffing Hours per Resident per Day
1.08138
Adjusted RN Staffing Hours per Resident per Day
0.52940
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71193
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
20
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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