Pleasant Manor Care Center - Mount Pleasant Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165592
Provider Name
PLEASANT MANOR CARE CENTER
Provider Address
413 NORTH BROADWAY STREET
MOUNT PLEASANT, IA 52641
MOUNT PLEASANT, IA 52641
Provider Phone Number
(319) 385-8095
Provider SSA County
430
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
50
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANT MANOR CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2009-02-03
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30833
Reported LPN Staffing Hours per Resident per Day
0.69762
Reported RN Staffing Hours per Resident per Day
0.87262
Reported Licensed Staffing Hours per Resident per Day
1.57024
Reported Total Nurse Staffing Hours per Resident per Day
3.87857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02024
Expected CNA Staffing Hours per Resident per Day
2.27458
Expected LPN Staffing Hours per Resident per Day
0.55284
Expected RN Staffing Hours per Resident per Day
0.83890
Expected Total Nurse Staffing Hours per Resident per Day
3.66631
Adjusted CNA Staffing Hours per Resident per Day
2.49011
Adjusted LPN Staffing Hours per Resident per Day
1.04736
Adjusted RN Staffing Hours per Resident per Day
0.77724
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26426
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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