Osage Rehab And Health Care Center - Osage Nursing Home

General Information

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Federal Provider Number
165173
Provider Name
OSAGE REHAB AND HEALTH CARE CENTER
Provider Address
830 SOUTH FIFTH STREET
OSAGE, IA 50461
Provider Phone Number
(641) 732-5520
Provider SSA County
650
Provider County Name
Mitchell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAVERLEY - MAPLE MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-04-09
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.08250
Reported LPN Staffing Hours per Resident per Day
0.71625
Reported RN Staffing Hours per Resident per Day
0.59750
Reported Licensed Staffing Hours per Resident per Day
1.31375
Reported Total Nurse Staffing Hours per Resident per Day
3.39625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06125
Expected CNA Staffing Hours per Resident per Day
2.30717
Expected LPN Staffing Hours per Resident per Day
0.60147
Expected RN Staffing Hours per Resident per Day
0.86985
Expected Total Nurse Staffing Hours per Resident per Day
3.77849
Adjusted CNA Staffing Hours per Resident per Day
2.21477
Adjusted LPN Staffing Hours per Resident per Day
0.98839
Adjusted RN Staffing Hours per Resident per Day
0.51325
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62313
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
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
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
8
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
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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