Regency Park Nursing & Rehab Center Of Carroll - Carroll Nursing Home

General Information

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Federal Provider Number
165231
Provider Name
REGENCY PARK NURSING & REHAB CENTER OF CARROLL
Provider Address
500 EAST VALLEY DRIVE
CARROLL, IA 51401
Provider Phone Number
(712) 792-9281
Provider SSA County
130
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XVII LP
Date First Approved to Provide Medicare and Medicaid services
1994-07-28
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.65909
Reported LPN Staffing Hours per Resident per Day
0.72727
Reported RN Staffing Hours per Resident per Day
0.78182
Reported Licensed Staffing Hours per Resident per Day
1.50909
Reported Total Nurse Staffing Hours per Resident per Day
4.16818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00909
Expected CNA Staffing Hours per Resident per Day
2.61537
Expected LPN Staffing Hours per Resident per Day
0.65738
Expected RN Staffing Hours per Resident per Day
0.96962
Expected Total Nurse Staffing Hours per Resident per Day
4.24237
Adjusted CNA Staffing Hours per Resident per Day
2.49472
Adjusted LPN Staffing Hours per Resident per Day
0.91825
Adjusted RN Staffing Hours per Resident per Day
0.60248
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96041
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
2015-01-22
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
17.33300
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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