Ossian Senior Hospice - Ossian Nursing Home

General Information

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Federal Provider Number
165576
Provider Name
OSSIAN SENIOR HOSPICE
Provider Address
114 FISHER STREET
OSSIAN, IA 52161
Provider Phone Number
(563) 532-9440
Provider SSA County
950
Provider County Name
Winneshiek
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OSSIAN SENIOR HOSPICE INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
2006-11-09
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.45652
Reported LPN Staffing Hours per Resident per Day
0.26848
Reported RN Staffing Hours per Resident per Day
0.81739
Reported Licensed Staffing Hours per Resident per Day
1.08587
Reported Total Nurse Staffing Hours per Resident per Day
3.54239
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03152
Expected CNA Staffing Hours per Resident per Day
1.99345
Expected LPN Staffing Hours per Resident per Day
0.52905
Expected RN Staffing Hours per Resident per Day
0.66489
Expected Total Nurse Staffing Hours per Resident per Day
3.18739
Adjusted CNA Staffing Hours per Resident per Day
3.02369
Adjusted LPN Staffing Hours per Resident per Day
0.42120
Adjusted RN Staffing Hours per Resident per Day
0.91858
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47985
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-01-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-01-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
6013
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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