Oaknoll Retirement Residence - Iowa City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165030
Provider Name
OAKNOLL RETIREMENT RESIDENCE
Provider Address
1 OAKNOLL CT
IOWA CITY, IA 52240
IOWA CITY, IA 52240
Provider Phone Number
(319) 351-1720
Provider SSA County
510
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHRISTIAN RETIREMENT SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
1988-11-30
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
2.65217
Reported LPN Staffing Hours per Resident per Day
0.40000
Reported RN Staffing Hours per Resident per Day
1.41413
Reported Licensed Staffing Hours per Resident per Day
1.81413
Reported Total Nurse Staffing Hours per Resident per Day
4.46630
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09457
Expected CNA Staffing Hours per Resident per Day
2.60971
Expected LPN Staffing Hours per Resident per Day
0.57915
Expected RN Staffing Hours per Resident per Day
0.83842
Expected Total Nurse Staffing Hours per Resident per Day
4.02728
Adjusted CNA Staffing Hours per Resident per Day
2.49362
Adjusted LPN Staffing Hours per Resident per Day
0.57326
Adjusted RN Staffing Hours per Resident per Day
1.26027
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47032
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-03-27
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
23.33300
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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