Ogden Manor - Ogden Nursing Home
General Information
UPDATEFederal Provider Number
165434
Provider Name
OGDEN MANOR
Provider Address
625 EAST OAK STREET
OGDEN, IA 50212
OGDEN, IA 50212
Provider Phone Number
5152752481
Provider SSA County
70
Provider County Name
Boone
Ownership Type
For profit - Individual
Number of Certified Beds
46
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OGDEN MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
2001-01-26
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.26081
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.95541
Reported Licensed Staffing Hours per Resident per Day
0.95541
Reported Total Nurse Staffing Hours per Resident per Day
3.21622
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13649
Expected CNA Staffing Hours per Resident per Day
2.16461
Expected LPN Staffing Hours per Resident per Day
0.60056
Expected RN Staffing Hours per Resident per Day
0.93463
Expected Total Nurse Staffing Hours per Resident per Day
3.69980
Adjusted CNA Staffing Hours per Resident per Day
2.56275
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.76381
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50404
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
123
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
123
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
211
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
211
Total Weighted Health Survey Score
122.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
15
Number of Fines
2
Total Amount of Fines in Dollars
10660
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Eastern Star Masonic Home
715 West Third Street |
BOONE IA 50036 | 6.2 miles away
Westhaven Community
112 West Fourth Street |
BOONE IA 50036 | 6.7 miles away
Boone County Hospital
1015 Union Street |
BOONE IA 50036 | 7.4 miles away
Madrid Home For The Aged
613 West North Street |
MADRID IA 50156 | 14.7 miles away
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