Prairie Ridge Care Center - Orange City Nursing Home

General Information

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Federal Provider Number
165538
Provider Name
PRAIRIE RIDGE CARE CENTER
Provider Address
1005 7TH STREET NE
ORANGE CITY, IA 51041
Provider Phone Number
(712) 707-6000
Provider SSA County
830
Provider County Name
Sioux
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
83
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ORANGE CITY MUNICIPAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2004-03-01
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
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
2.53354
Reported LPN Staffing Hours per Resident per Day
0.38232
Reported RN Staffing Hours per Resident per Day
0.80793
Reported Licensed Staffing Hours per Resident per Day
1.19024
Reported Total Nurse Staffing Hours per Resident per Day
3.72379
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01037
Expected CNA Staffing Hours per Resident per Day
2.31274
Expected LPN Staffing Hours per Resident per Day
0.53485
Expected RN Staffing Hours per Resident per Day
0.69050
Expected Total Nurse Staffing Hours per Resident per Day
3.53809
Adjusted CNA Staffing Hours per Resident per Day
2.68796
Adjusted LPN Staffing Hours per Resident per Day
0.59330
Adjusted RN Staffing Hours per Resident per Day
0.87427
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24247
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
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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