Southern Hills Speciality Care - Osceola Nursing Home

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Federal Provider Number
165293
Provider Name
SOUTHERN HILLS SPECIALITY CARE
Provider Address
444 NORTH WEST VIEW DRIVE
OSCEOLA, IA 50213
Provider Phone Number
(641) 342-6061
Provider SSA County
190
Provider County Name
Clarke
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
73
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
1996-08-09
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46575
Reported LPN Staffing Hours per Resident per Day
0.64178
Reported RN Staffing Hours per Resident per Day
0.42260
Reported Licensed Staffing Hours per Resident per Day
1.06438
Reported Total Nurse Staffing Hours per Resident per Day
3.53013
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03904
Expected CNA Staffing Hours per Resident per Day
2.56168
Expected LPN Staffing Hours per Resident per Day
0.59989
Expected RN Staffing Hours per Resident per Day
0.84162
Expected Total Nurse Staffing Hours per Resident per Day
4.00318
Adjusted CNA Staffing Hours per Resident per Day
2.36182
Adjusted LPN Staffing Hours per Resident per Day
0.88796
Adjusted RN Staffing Hours per Resident per Day
0.37519
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55458
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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