St Francis Manor - Grinnell Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165480
Provider Name
ST FRANCIS MANOR
Provider Address
2021 FOURTH AVENUE
GRINNELL, IA 50112
GRINNELL, IA 50112
Provider Phone Number
(641) 236-7592
Provider SSA County
780
Provider County Name
Poweshiek
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST FRANCIS MANOR INC
Date First Approved to Provide Medicare and Medicaid services
2003-01-01
Continuing Care Retirement Community
Y
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
5
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
2.76667
Reported LPN Staffing Hours per Resident per Day
1.09083
Reported RN Staffing Hours per Resident per Day
0.95000
Reported Licensed Staffing Hours per Resident per Day
2.04083
Reported Total Nurse Staffing Hours per Resident per Day
4.80750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08417
Expected CNA Staffing Hours per Resident per Day
2.36301
Expected LPN Staffing Hours per Resident per Day
0.58542
Expected RN Staffing Hours per Resident per Day
0.84391
Expected Total Nurse Staffing Hours per Resident per Day
3.79233
Adjusted CNA Staffing Hours per Resident per Day
2.87285
Adjusted LPN Staffing Hours per Resident per Day
1.54657
Adjusted RN Staffing Hours per Resident per Day
0.84114
Adjusted Total Nurse Staffing Hours per Resident per Day
5.10993
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
3
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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