River Hills Village In Keokuk - Keokuk Nursing Home
General Information
UPDATEFederal Provider Number
165396
Provider Name
RIVER HILLS VILLAGE IN KEOKUK
Provider Address
20 VILLAGE CIRCLE
KEOKUK, IA 52632
KEOKUK, IA 52632
Provider Phone Number
(319) 524-5772
Provider SSA County
550
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNLIMITED DEVELOPMENT, INC
Date First Approved to Provide Medicare and Medicaid services
1998-07-13
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
3.11090
Reported LPN Staffing Hours per Resident per Day
0.59872
Reported RN Staffing Hours per Resident per Day
0.68782
Reported Licensed Staffing Hours per Resident per Day
1.28654
Reported Total Nurse Staffing Hours per Resident per Day
4.39744
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07115
Expected CNA Staffing Hours per Resident per Day
2.56975
Expected LPN Staffing Hours per Resident per Day
0.56668
Expected RN Staffing Hours per Resident per Day
0.90433
Expected Total Nurse Staffing Hours per Resident per Day
4.04075
Adjusted CNA Staffing Hours per Resident per Day
2.97042
Adjusted LPN Staffing Hours per Resident per Day
0.87693
Adjusted RN Staffing Hours per Resident per Day
0.56831
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38672
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-30
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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