Ravenwood Nursing & Rehab Center - Waterloo Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165251
Provider Name
RAVENWOOD NURSING & REHAB CENTER
Provider Address
2651 ST FRANCIS DRIVE
WATERLOO, IA 50702
WATERLOO, IA 50702
Provider Phone Number
(319) 232-6808
Provider SSA County
60
Provider County Name
Black Hawk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
196
Number of Residents in Certified Beds
156
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1995-03-27
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
2.13269
Reported LPN Staffing Hours per Resident per Day
0.90801
Reported RN Staffing Hours per Resident per Day
0.73750
Reported Licensed Staffing Hours per Resident per Day
1.64551
Reported Total Nurse Staffing Hours per Resident per Day
3.77820
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05353
Expected CNA Staffing Hours per Resident per Day
2.43734
Expected LPN Staffing Hours per Resident per Day
0.65997
Expected RN Staffing Hours per Resident per Day
0.99467
Expected Total Nurse Staffing Hours per Resident per Day
4.09198
Adjusted CNA Staffing Hours per Resident per Day
2.14701
Adjusted LPN Staffing Hours per Resident per Day
1.14194
Adjusted RN Staffing Hours per Resident per Day
0.55401
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72181
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
143
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
143
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
101.50000
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
12
Number of Fines
2
Total Amount of Fines in Dollars
45390
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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