Riceville Family Care And Therapy Center - Riceville Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165541
Provider Name
RICEVILLE FAMILY CARE AND THERAPY CENTER
Provider Address
915 WOODLAND AVENUE
RICEVILLE, IA 50466
RICEVILLE, IA 50466
Provider Phone Number
(641) 985-2606
Provider SSA County
650
Provider County Name
Mitchell
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RICEVILLE COMMUNITY REST HOME
Date First Approved to Provide Medicare and Medicaid services
2004-03-17
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.89107
Reported LPN Staffing Hours per Resident per Day
0.60714
Reported RN Staffing Hours per Resident per Day
0.70893
Reported Licensed Staffing Hours per Resident per Day
1.31607
Reported Total Nurse Staffing Hours per Resident per Day
3.20714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02857
Expected CNA Staffing Hours per Resident per Day
2.25687
Expected LPN Staffing Hours per Resident per Day
0.54619
Expected RN Staffing Hours per Resident per Day
0.79547
Expected Total Nurse Staffing Hours per Resident per Day
3.59853
Adjusted CNA Staffing Hours per Resident per Day
2.05600
Adjusted LPN Staffing Hours per Resident per Day
0.92263
Adjusted RN Staffing Hours per Resident per Day
0.66591
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59248
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
20.66700
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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