Sioux Care Center - Sioux Rapids Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165403
Provider Name
SIOUX CARE CENTER
Provider Address
702 BLAKE STREET
SIOUX RAPIDS, IA 50585
SIOUX RAPIDS, IA 50585
Provider Phone Number
(712) 283-2302
Provider SSA County
100
Provider County Name
Buena Vista
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
M&D HAMM INC
Date First Approved to Provide Medicare and Medicaid services
1999-02-01
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33158
Reported LPN Staffing Hours per Resident per Day
0.46053
Reported RN Staffing Hours per Resident per Day
1.39737
Reported Licensed Staffing Hours per Resident per Day
1.85789
Reported Total Nurse Staffing Hours per Resident per Day
4.18948
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03684
Expected CNA Staffing Hours per Resident per Day
2.48908
Expected LPN Staffing Hours per Resident per Day
0.57593
Expected RN Staffing Hours per Resident per Day
0.76608
Expected Total Nurse Staffing Hours per Resident per Day
3.83110
Adjusted CNA Staffing Hours per Resident per Day
2.29844
Adjusted LPN Staffing Hours per Resident per Day
0.66369
Adjusted RN Staffing Hours per Resident per Day
1.36293
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40797
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-29
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
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
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