Pocahontas Manor - Pocahontas Nursing Home

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Federal Provider Number
165461
Provider Name
POCAHONTAS MANOR
Provider Address
700 NW SEVENTH STREET
POCAHONTAS, IA 50574
Provider Phone Number
(712) 335-3386
Provider SSA County
750
Provider County Name
Pocahontas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JP MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
2002-06-01
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
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
2.14904
Reported LPN Staffing Hours per Resident per Day
0.31635
Reported RN Staffing Hours per Resident per Day
0.67500
Reported Licensed Staffing Hours per Resident per Day
0.99135
Reported Total Nurse Staffing Hours per Resident per Day
3.14039
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01346
Expected CNA Staffing Hours per Resident per Day
2.38979
Expected LPN Staffing Hours per Resident per Day
0.59089
Expected RN Staffing Hours per Resident per Day
0.95262
Expected Total Nurse Staffing Hours per Resident per Day
3.93329
Adjusted CNA Staffing Hours per Resident per Day
2.20652
Adjusted LPN Staffing Hours per Resident per Day
0.44437
Adjusted RN Staffing Hours per Resident per Day
0.52945
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21832
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-03-02
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
48
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
7
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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