Premier Estates Of Muscatine - Muscatine Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165578
Provider Name
PREMIER ESTATES OF MUSCATINE
Provider Address
3440 MULBERRY AVENUE
MUSCATINE, IA 52761
MUSCATINE, IA 52761
Provider Phone Number
(563) 263-2194
Provider SSA County
690
Provider County Name
Muscatine
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PREMIER ESTATES OF MUSCATINE, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-02-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.94156
Reported LPN Staffing Hours per Resident per Day
0.96169
Reported RN Staffing Hours per Resident per Day
0.71039
Reported Licensed Staffing Hours per Resident per Day
1.67208
Reported Total Nurse Staffing Hours per Resident per Day
2.61364
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07403
Expected CNA Staffing Hours per Resident per Day
2.35653
Expected LPN Staffing Hours per Resident per Day
0.68007
Expected RN Staffing Hours per Resident per Day
1.10048
Expected Total Nurse Staffing Hours per Resident per Day
4.13708
Adjusted CNA Staffing Hours per Resident per Day
0.98038
Adjusted LPN Staffing Hours per Resident per Day
1.17371
Adjusted RN Staffing Hours per Resident per Day
0.48234
Adjusted Total Nurse Staffing Hours per Resident per Day
2.54656
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
10
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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