Park View Rehabilitation Center - Sac City Nursing Home

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Federal Provider Number
165343
Provider Name
PARK VIEW REHABILITATION CENTER
Provider Address
601 PARK AVENUE
SAC CITY, IA 50583
Provider Phone Number
(712) 662-3818
Provider SSA County
800
Provider County Name
Sac
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ABCM CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1997-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.46455
Reported LPN Staffing Hours per Resident per Day
0.38182
Reported RN Staffing Hours per Resident per Day
1.22545
Reported Licensed Staffing Hours per Resident per Day
1.60727
Reported Total Nurse Staffing Hours per Resident per Day
4.07182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02818
Expected CNA Staffing Hours per Resident per Day
2.34046
Expected LPN Staffing Hours per Resident per Day
0.63254
Expected RN Staffing Hours per Resident per Day
0.85549
Expected Total Nurse Staffing Hours per Resident per Day
3.82849
Adjusted CNA Staffing Hours per Resident per Day
2.58379
Adjusted LPN Staffing Hours per Resident per Day
0.50102
Adjusted RN Staffing Hours per Resident per Day
1.07033
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28710
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
3
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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