Parkridge Specialty Care - Pleasant Hill Nursing Home

General Information

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Federal Provider Number
165345
Provider Name
PARKRIDGE SPECIALTY CARE
Provider Address
5800 NE 12TH AVENUE
PLEASANT HILL, IA 50327
Provider Phone Number
(515) 265-5348
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05696
Reported LPN Staffing Hours per Resident per Day
0.62468
Reported RN Staffing Hours per Resident per Day
0.47595
Reported Licensed Staffing Hours per Resident per Day
1.10063
Reported Total Nurse Staffing Hours per Resident per Day
3.15759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10570
Expected CNA Staffing Hours per Resident per Day
2.47072
Expected LPN Staffing Hours per Resident per Day
0.58372
Expected RN Staffing Hours per Resident per Day
0.90797
Expected Total Nurse Staffing Hours per Resident per Day
3.96241
Adjusted CNA Staffing Hours per Resident per Day
2.04279
Adjusted LPN Staffing Hours per Resident per Day
0.88824
Adjusted RN Staffing Hours per Resident per Day
0.39168
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21217
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-12
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
1
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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