Qhc Winterset North, Llc - Winterset Nursing Home
General Information
UPDATEFederal Provider Number
165497
Provider Name
QHC WINTERSET NORTH, LLC
Provider Address
411 EAST LANE STREET
WINTERSET, IA 50273
WINTERSET, IA 50273
Provider Phone Number
5154621571
Provider SSA County
600
Provider County Name
Madison
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
QHC WINTERSET NORTH LLC
Date First Approved to Provide Medicare and Medicaid services
2004-01-05
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
1
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
1.23684
Reported LPN Staffing Hours per Resident per Day
0.51930
Reported RN Staffing Hours per Resident per Day
0.50439
Reported Licensed Staffing Hours per Resident per Day
1.02368
Reported Total Nurse Staffing Hours per Resident per Day
2.26053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00526
Expected CNA Staffing Hours per Resident per Day
2.24737
Expected LPN Staffing Hours per Resident per Day
0.53185
Expected RN Staffing Hours per Resident per Day
0.77284
Expected Total Nurse Staffing Hours per Resident per Day
3.55206
Adjusted CNA Staffing Hours per Resident per Day
1.35040
Adjusted LPN Staffing Hours per Resident per Day
0.81042
Adjusted RN Staffing Hours per Resident per Day
0.48765
Adjusted Total Nurse Staffing Hours per Resident per Day
2.56526
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
44
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-19
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
14
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
Qhc Winterset South, Llc
715 South Second Avenue |
WINTERSET IA 50273 | 0.9 mile away
West Bridge Care & Rehabilitation
1015 West Summit |
WINTERSET IA 50273 | 1.1 miles away
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