Riverside North - Ames Nursing Home

General Information

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Federal Provider Number
165423
Provider Name
RIVERSIDE NORTH
Provider Address
3440 GRAND AVENUE
AMES, IA 50010
Provider Phone Number
(515) 232-3426
Provider SSA County
840
Provider County Name
Story
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2000-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
1.98289
Reported LPN Staffing Hours per Resident per Day
0.36711
Reported RN Staffing Hours per Resident per Day
0.83684
Reported Licensed Staffing Hours per Resident per Day
1.20395
Reported Total Nurse Staffing Hours per Resident per Day
3.18684
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15000
Expected CNA Staffing Hours per Resident per Day
2.30159
Expected LPN Staffing Hours per Resident per Day
0.68639
Expected RN Staffing Hours per Resident per Day
1.09827
Expected Total Nurse Staffing Hours per Resident per Day
4.08626
Adjusted CNA Staffing Hours per Resident per Day
2.11393
Adjusted LPN Staffing Hours per Resident per Day
0.44392
Adjusted RN Staffing Hours per Resident per Day
0.56934
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14367
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
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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