Sanford Senior Care Sheldon - Sheldon Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
160000000000000000000000000000
Provider Name
SANFORD SENIOR CARE SHELDON
Provider Address
118 NORTH SEVENTH AVENUE, PO BOX 250
SHELDON, IA 51201
SHELDON, IA 51201
Provider Phone Number
(712) 324-6453
Provider SSA County
700
Provider County Name
Obrien
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
59
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52458
Reported LPN Staffing Hours per Resident per Day
0.23136
Reported RN Staffing Hours per Resident per Day
0.83644
Reported Licensed Staffing Hours per Resident per Day
1.06780
Reported Total Nurse Staffing Hours per Resident per Day
3.59238
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.34768
Expected LPN Staffing Hours per Resident per Day
0.51074
Expected RN Staffing Hours per Resident per Day
0.66545
Expected Total Nurse Staffing Hours per Resident per Day
3.52387
Adjusted CNA Staffing Hours per Resident per Day
2.63859
Adjusted LPN Staffing Hours per Resident per Day
0.37598
Adjusted RN Staffing Hours per Resident per Day
0.93920
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10927
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-01-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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