Premier Estates Of Toledo - Toledo Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165450
Provider Name
PREMIER ESTATES OF TOLEDO
Provider Address
403 GRANDVIEW DRIVE
TOLEDO, IA 52342
TOLEDO, IA 52342
Provider Phone Number
(641) 484-5080
Provider SSA County
850
Provider County Name
Tama
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PREMIER ESTATES OF TOLEDO, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.07281
Reported LPN Staffing Hours per Resident per Day
0.66316
Reported RN Staffing Hours per Resident per Day
0.47807
Reported Licensed Staffing Hours per Resident per Day
1.14123
Reported Total Nurse Staffing Hours per Resident per Day
3.21404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02719
Expected CNA Staffing Hours per Resident per Day
2.14975
Expected LPN Staffing Hours per Resident per Day
0.60467
Expected RN Staffing Hours per Resident per Day
0.89533
Expected Total Nurse Staffing Hours per Resident per Day
3.64975
Adjusted CNA Staffing Hours per Resident per Day
2.36588
Adjusted LPN Staffing Hours per Resident per Day
0.91029
Adjusted RN Staffing Hours per Resident per Day
0.39897
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54968
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
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
68
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
0
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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