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Parkview Manor - Wellman Nursing Home

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Federal Provider Number
165234
Provider Name
PARKVIEW MANOR
Provider Address
516 THIRTEENTH STREET
WELLMAN, IA 52356
Provider Phone Number
(319) 646-2911
Provider SSA County
910
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARKVIEW HEALTHCARE MANAGEMENT
Date First Approved to Provide Medicare and Medicaid services
1994-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.39787
Reported LPN Staffing Hours per Resident per Day
0.43936
Reported RN Staffing Hours per Resident per Day
0.62766
Reported Licensed Staffing Hours per Resident per Day
1.06702
Reported Total Nurse Staffing Hours per Resident per Day
3.46489
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09149
Expected CNA Staffing Hours per Resident per Day
2.52576
Expected LPN Staffing Hours per Resident per Day
0.56244
Expected RN Staffing Hours per Resident per Day
0.89087
Expected Total Nurse Staffing Hours per Resident per Day
3.97907
Adjusted CNA Staffing Hours per Resident per Day
2.32946
Adjusted LPN Staffing Hours per Resident per Day
0.64837
Adjusted RN Staffing Hours per Resident per Day
0.52643
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51003
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
103
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
52
Cycle 2 Total Health Score
155
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
20
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
65.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
4778
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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