Rosewood Manor - Estherville Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165523
Provider Name
ROSEWOOD MANOR
Provider Address
2001 FIRST AVENUE NORTH
ESTHERVILLE, IA 51334
ESTHERVILLE, IA 51334
Provider Phone Number
(712) 362-3594
Provider SSA County
310
Provider County Name
Emmet
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SIGNATURE PROPERTIES OF ESTHERVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
2004-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67162
Reported LPN Staffing Hours per Resident per Day
0.25270
Reported RN Staffing Hours per Resident per Day
0.58649
Reported Licensed Staffing Hours per Resident per Day
0.83919
Reported Total Nurse Staffing Hours per Resident per Day
2.51081
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.60200
Expected LPN Staffing Hours per Resident per Day
0.65657
Expected RN Staffing Hours per Resident per Day
0.97388
Expected Total Nurse Staffing Hours per Resident per Day
4.23245
Adjusted CNA Staffing Hours per Resident per Day
1.57635
Adjusted LPN Staffing Hours per Resident per Day
0.31945
Adjusted RN Staffing Hours per Resident per Day
0.44998
Adjusted Total Nurse Staffing Hours per Resident per Day
2.39125
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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