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Sibley Nursing & Rehab Center - Sibley Nursing Home

General Information

UPDATE
Federal Provider Number
165401
Provider Name
SIBLEY NURSING & REHAB CENTER
Provider Address
700 NINTH AVENUE NORTH
SIBLEY, IA 51249
Provider Phone Number
7127543629
Provider SSA County
710
Provider County Name
Osceola
Ownership Type
Non profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1999-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.66912
Reported LPN Staffing Hours per Resident per Day
0.47794
Reported RN Staffing Hours per Resident per Day
0.69118
Reported Licensed Staffing Hours per Resident per Day
1.16912
Reported Total Nurse Staffing Hours per Resident per Day
3.83824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02059
Expected CNA Staffing Hours per Resident per Day
2.33683
Expected LPN Staffing Hours per Resident per Day
0.55067
Expected RN Staffing Hours per Resident per Day
0.74151
Expected Total Nurse Staffing Hours per Resident per Day
3.62901
Adjusted CNA Staffing Hours per Resident per Day
2.80261
Adjusted LPN Staffing Hours per Resident per Day
0.72038
Adjusted RN Staffing Hours per Resident per Day
0.69649
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26330
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-12
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
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

Nursiong Homes Nearby

Country View Manor Inc

100 Cedar Lane | SIBLEY IA 51249 | 0.2 mile away

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