Qhc Winterset South, Llc - Winterset Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165506
Provider Name
QHC WINTERSET SOUTH, LLC
Provider Address
715 SOUTH SECOND AVENUE
WINTERSET, IA 50273
WINTERSET, IA 50273
Provider Phone Number
(515) 462-4040
Provider SSA County
600
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
QHC WINTERSET SOUTH LLC
Date First Approved to Provide Medicare and Medicaid services
2003-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.77917
Reported LPN Staffing Hours per Resident per Day
0.39861
Reported RN Staffing Hours per Resident per Day
0.66250
Reported Licensed Staffing Hours per Resident per Day
1.06111
Reported Total Nurse Staffing Hours per Resident per Day
2.84028
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.39603
Expected LPN Staffing Hours per Resident per Day
0.58758
Expected RN Staffing Hours per Resident per Day
0.82299
Expected Total Nurse Staffing Hours per Resident per Day
3.80661
Adjusted CNA Staffing Hours per Resident per Day
1.82199
Adjusted LPN Staffing Hours per Resident per Day
0.56306
Adjusted RN Staffing Hours per Resident per Day
0.60149
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00764
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-04-11
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
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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