Parkview Home - Wayland Nursing Home

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Federal Provider Number
165547
Provider Name
PARKVIEW HOME
Provider Address
102 NORTH JACKSON STREET
WAYLAND, IA 52654
Provider Phone Number
(319) 256-3525
Provider SSA County
430
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
34
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAYLAND MENNONITE HOME ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
2004-06-01
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.33036
Reported LPN Staffing Hours per Resident per Day
0.64464
Reported RN Staffing Hours per Resident per Day
0.73393
Reported Licensed Staffing Hours per Resident per Day
1.37857
Reported Total Nurse Staffing Hours per Resident per Day
4.70893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01786
Expected CNA Staffing Hours per Resident per Day
2.35569
Expected LPN Staffing Hours per Resident per Day
0.58916
Expected RN Staffing Hours per Resident per Day
0.84853
Expected Total Nurse Staffing Hours per Resident per Day
3.79338
Adjusted CNA Staffing Hours per Resident per Day
3.46892
Adjusted LPN Staffing Hours per Resident per Day
0.90816
Adjusted RN Staffing Hours per Resident per Day
0.64629
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00378
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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