Primghar Rehab & Care Center - Primghar Nursing Home

General Information

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Federal Provider Number
165387
Provider Name
PRIMGHAR REHAB & CARE CENTER
Provider Address
735 NORTH RERICK
PRIMGHAR, IA 51245
Provider Phone Number
(712) 957-3655
Provider SSA County
700
Provider County Name
Obrien
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SIGNATURE PROPERTIES OF PRIMGHAR LLC
Date First Approved to Provide Medicare and Medicaid services
1998-11-01
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
3
QM Rating Footnote
Staffing Rating
4
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
1.86579
Reported LPN Staffing Hours per Resident per Day
0.91316
Reported RN Staffing Hours per Resident per Day
0.72895
Reported Licensed Staffing Hours per Resident per Day
1.64211
Reported Total Nurse Staffing Hours per Resident per Day
3.50790
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03684
Expected CNA Staffing Hours per Resident per Day
2.43200
Expected LPN Staffing Hours per Resident per Day
0.56723
Expected RN Staffing Hours per Resident per Day
0.80768
Expected Total Nurse Staffing Hours per Resident per Day
3.80690
Adjusted CNA Staffing Hours per Resident per Day
1.88244
Adjusted LPN Staffing Hours per Resident per Day
1.33619
Adjusted RN Staffing Hours per Resident per Day
0.67437
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71430
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-15
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
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
139
Cycle 2 Standard Health Survey Date
2013-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
139
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-02-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
86.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
8250
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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