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Perry Health Care Center - Perry Nursing Home

General Information

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Federal Provider Number
165426
Provider Name
PERRY HEALTH CARE CENTER
Provider Address
2625 IOWA STREET
PERRY, IA 50220
Provider Phone Number
(515) 465-5349
Provider SSA County
240
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SIGNATURE PROPERTIES OF PERRY, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-03-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.72069
Reported LPN Staffing Hours per Resident per Day
0.29483
Reported RN Staffing Hours per Resident per Day
0.71552
Reported Licensed Staffing Hours per Resident per Day
1.01034
Reported Total Nurse Staffing Hours per Resident per Day
2.73104
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01897
Expected CNA Staffing Hours per Resident per Day
2.13879
Expected LPN Staffing Hours per Resident per Day
0.55503
Expected RN Staffing Hours per Resident per Day
0.82421
Expected Total Nurse Staffing Hours per Resident per Day
3.51803
Adjusted CNA Staffing Hours per Resident per Day
1.97404
Adjusted LPN Staffing Hours per Resident per Day
0.44089
Adjusted RN Staffing Hours per Resident per Day
0.64867
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12918
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
36
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
36
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
56
Cycle 2 Standard Health Survey Date
2013-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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