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Pleasant Care Living Center - Pleasantville Nursing Home

General Information

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Federal Provider Number
165324
Provider Name
PLEASANT CARE LIVING CENTER
Provider Address
909 NORTH STATE STREET
PLEASANTVILLE, IA 50225
Provider Phone Number
(515) 848-5718
Provider SSA County
620
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANTVILLE CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1997-03-03
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
1
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
0.38125
Reported LPN Staffing Hours per Resident per Day
0.80375
Reported RN Staffing Hours per Resident per Day
0.58375
Reported Licensed Staffing Hours per Resident per Day
1.38750
Reported Total Nurse Staffing Hours per Resident per Day
1.76875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03625
Expected CNA Staffing Hours per Resident per Day
2.49007
Expected LPN Staffing Hours per Resident per Day
0.59704
Expected RN Staffing Hours per Resident per Day
0.92905
Expected Total Nurse Staffing Hours per Resident per Day
4.01616
Adjusted CNA Staffing Hours per Resident per Day
0.37568
Adjusted LPN Staffing Hours per Resident per Day
1.11737
Adjusted RN Staffing Hours per Resident per Day
0.46949
Adjusted Total Nurse Staffing Hours per Resident per Day
1.77524
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
361
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
361
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-02-14
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
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-01-25
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
54
Cycle 3 Total Health Score
162
Total Weighted Health Survey Score
226.16700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
11
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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