Pomeroy Care Center - Pomeroy Nursing Home
General Information
UPDATEFederal Provider Number
165414
Provider Name
POMEROY CARE CENTER
Provider Address
303 EAST 7TH STREET
POMEROY, IA 50575
POMEROY, IA 50575
Provider Phone Number
7124682241
Provider SSA County
120
Provider County Name
Calhoun
Ownership Type
For profit - Individual
Number of Certified Beds
40
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
POMEROY DEVELOPMENT CORP
Date First Approved to Provide Medicare and Medicaid services
1999-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
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
2.96000
Reported LPN Staffing Hours per Resident per Day
0.68800
Reported RN Staffing Hours per Resident per Day
0.92000
Reported Licensed Staffing Hours per Resident per Day
1.60800
Reported Total Nurse Staffing Hours per Resident per Day
4.56800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.45229
Expected LPN Staffing Hours per Resident per Day
0.61215
Expected RN Staffing Hours per Resident per Day
0.75181
Expected Total Nurse Staffing Hours per Resident per Day
3.81625
Adjusted CNA Staffing Hours per Resident per Day
2.96170
Adjusted LPN Staffing Hours per Resident per Day
0.93284
Adjusted RN Staffing Hours per Resident per Day
0.91436
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82493
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
78.00000
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
Nursiong Homes Nearby
Good Samaritan Society - Manson
1402 Main Street |
MANSON IA 50563 | 7.5 miles away
Sunny Knoll Care Centre
135 Warner Street |
ROCKWELL CITY IA 50579 | 10.5 miles away
Shady Oaks Care Center
1409 West Main Street |
LAKE CITY IA 51449 | 19.6 miles away
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