Riverview Manor - Pleasant Valley Nursing Home
General Information
UPDATEFederal Provider Number
165376
Provider Name
RIVERVIEW MANOR
Provider Address
17990 SPENCER ROAD PO BOX 503
PLEASANT VALLEY, IA 52767
PLEASANT VALLEY, IA 52767
Provider Phone Number
5633324600
Provider SSA County
810
Provider County Name
Scott
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ECA RIVERVIEW LC
Date First Approved to Provide Medicare and Medicaid services
1998-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
1.93472
Reported LPN Staffing Hours per Resident per Day
0.66667
Reported RN Staffing Hours per Resident per Day
0.68472
Reported Licensed Staffing Hours per Resident per Day
1.35139
Reported Total Nurse Staffing Hours per Resident per Day
3.28611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03333
Expected CNA Staffing Hours per Resident per Day
2.48563
Expected LPN Staffing Hours per Resident per Day
0.66093
Expected RN Staffing Hours per Resident per Day
0.97259
Expected Total Nurse Staffing Hours per Resident per Day
4.11915
Adjusted CNA Staffing Hours per Resident per Day
1.90987
Adjusted LPN Staffing Hours per Resident per Day
0.83721
Adjusted RN Staffing Hours per Resident per Day
0.52604
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21571
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
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Manorcare Health Services
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Ridgecrest Village
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Davenport Lutheran Home
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Good Samaritan Society - Davenport
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