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Pleasant Acres Care Center - Hull Nursing Home

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Federal Provider Number
165248
Provider Name
PLEASANT ACRES CARE CENTER
Provider Address
309 RAILROAD STREET
HULL, IA 51239
Provider Phone Number
(712) 439-2758
Provider SSA County
830
Provider County Name
Sioux
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.86500
Reported LPN Staffing Hours per Resident per Day
0.76600
Reported RN Staffing Hours per Resident per Day
0.51700
Reported Licensed Staffing Hours per Resident per Day
1.28300
Reported Total Nurse Staffing Hours per Resident per Day
3.14800
Reported Physical Therapist Staffing Hours per Resident Per Day
1.26400
Expected CNA Staffing Hours per Resident per Day
2.30654
Expected LPN Staffing Hours per Resident per Day
0.61952
Expected RN Staffing Hours per Resident per Day
0.86569
Expected Total Nurse Staffing Hours per Resident per Day
3.79176
Adjusted CNA Staffing Hours per Resident per Day
1.98399
Adjusted LPN Staffing Hours per Resident per Day
1.02624
Adjusted RN Staffing Hours per Resident per Day
0.44623
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34654
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
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
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
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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