Southfield Wellness Community - Webster City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165411
Provider Name
SOUTHFIELD WELLNESS COMMUNITY
Provider Address
2416 SOUTH DES MOINES STREET
WEBSTER CITY, IA 50595
WEBSTER CITY, IA 50595
Provider Phone Number
(515) 832-3881
Provider SSA County
390
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEBSTER CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1999-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2.56667
Reported LPN Staffing Hours per Resident per Day
0.65000
Reported RN Staffing Hours per Resident per Day
0.64015
Reported Licensed Staffing Hours per Resident per Day
1.29015
Reported Total Nurse Staffing Hours per Resident per Day
3.85682
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01591
Expected CNA Staffing Hours per Resident per Day
2.31560
Expected LPN Staffing Hours per Resident per Day
0.60596
Expected RN Staffing Hours per Resident per Day
0.86419
Expected Total Nurse Staffing Hours per Resident per Day
3.78574
Adjusted CNA Staffing Hours per Resident per Day
2.71975
Adjusted LPN Staffing Hours per Resident per Day
0.89033
Adjusted RN Staffing Hours per Resident per Day
0.55349
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10658
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
20
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-29
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.66700
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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