St Anthony's Regional Hospital - Carroll Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
160000000000000000000000000000
Provider Name
ST ANTHONY'S REGIONAL HOSPITAL
Provider Address
406 EAST ANTHONY STREET
CARROLL, IA 51401
CARROLL, IA 51401
Provider Phone Number
(712) 794-5455
Provider SSA County
130
Provider County Name
Carroll
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
79
Number of Residents in Certified Beds
77
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.43377
Reported LPN Staffing Hours per Resident per Day
0.52532
Reported RN Staffing Hours per Resident per Day
0.65519
Reported Licensed Staffing Hours per Resident per Day
1.18052
Reported Total Nurse Staffing Hours per Resident per Day
3.61428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00909
Expected CNA Staffing Hours per Resident per Day
2.35528
Expected LPN Staffing Hours per Resident per Day
0.59117
Expected RN Staffing Hours per Resident per Day
0.77478
Expected Total Nurse Staffing Hours per Resident per Day
3.72124
Adjusted CNA Staffing Hours per Resident per Day
2.53547
Adjusted LPN Staffing Hours per Resident per Day
0.73754
Adjusted RN Staffing Hours per Resident per Day
0.63187
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91504
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-26
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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