Shady Rest Care Center - Cascade Nursing Home

General Information

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Federal Provider Number
165568
Provider Name
SHADY REST CARE CENTER
Provider Address
701 NORTH JOHNSON STREET NW
CASCADE, IA 52033
Provider Phone Number
(563) 852-3277
Provider SSA County
300
Provider County Name
Dubuque
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHADY REST, INC.
Date First Approved to Provide Medicare and Medicaid services
2006-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.89455
Reported LPN Staffing Hours per Resident per Day
0.87818
Reported RN Staffing Hours per Resident per Day
0.54364
Reported Licensed Staffing Hours per Resident per Day
1.42182
Reported Total Nurse Staffing Hours per Resident per Day
4.31637
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03364
Expected CNA Staffing Hours per Resident per Day
2.37930
Expected LPN Staffing Hours per Resident per Day
0.53973
Expected RN Staffing Hours per Resident per Day
0.74900
Expected Total Nurse Staffing Hours per Resident per Day
3.66803
Adjusted CNA Staffing Hours per Resident per Day
2.98506
Adjusted LPN Staffing Hours per Resident per Day
1.35047
Adjusted RN Staffing Hours per Resident per Day
0.54233
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74337
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-26
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
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
1
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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