Rose Haven Nursing Home - Marengo Nursing Home

General Information

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Federal Provider Number
160000000000000000000000000000
Provider Name
ROSE HAVEN NURSING HOME
Provider Address
1500 N FRANKLIN AVENUE
MARENGO, IA 52301
Provider Phone Number
(319) 642-5533
Provider SSA County
470
Provider County Name
Iowa
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
58
Number of Residents in Certified Beds
50
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.80200
Reported LPN Staffing Hours per Resident per Day
0.94000
Reported RN Staffing Hours per Resident per Day
0.28100
Reported Licensed Staffing Hours per Resident per Day
1.22100
Reported Total Nurse Staffing Hours per Resident per Day
3.02300
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00900
Expected CNA Staffing Hours per Resident per Day
2.30581
Expected LPN Staffing Hours per Resident per Day
0.52392
Expected RN Staffing Hours per Resident per Day
0.72499
Expected Total Nurse Staffing Hours per Resident per Day
3.55472
Adjusted CNA Staffing Hours per Resident per Day
1.91758
Adjusted LPN Staffing Hours per Resident per Day
1.48917
Adjusted RN Staffing Hours per Resident per Day
0.28961
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42795
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
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
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
2
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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