Pleasant View Home - Albert City Nursing Home

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Federal Provider Number
165413
Provider Name
PLEASANT VIEW HOME
Provider Address
410 SPRUCE STREET
ALBERT CITY, IA 50510
Provider Phone Number
(712) 843-2237
Provider SSA County
100
Provider County Name
Buena Vista
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALBERT CITY IMPROVEMENT CORP
Date First Approved to Provide Medicare and Medicaid services
1999-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.45278
Reported LPN Staffing Hours per Resident per Day
0.51389
Reported RN Staffing Hours per Resident per Day
0.58750
Reported Licensed Staffing Hours per Resident per Day
1.10139
Reported Total Nurse Staffing Hours per Resident per Day
3.55417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02639
Expected CNA Staffing Hours per Resident per Day
2.18163
Expected LPN Staffing Hours per Resident per Day
0.56581
Expected RN Staffing Hours per Resident per Day
0.81471
Expected Total Nurse Staffing Hours per Resident per Day
3.56216
Adjusted CNA Staffing Hours per Resident per Day
2.75866
Adjusted LPN Staffing Hours per Resident per Day
0.75383
Adjusted RN Staffing Hours per Resident per Day
0.53882
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02186
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
2014-07-10
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
1
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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