St Luke Lutheran Home - Spencer Nursing Home

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Federal Provider Number
165484
Provider Name
ST LUKE LUTHERAN HOME
Provider Address
1301 SAINT LUKE DRIVE
SPENCER, IA 51301
Provider Phone Number
(712) 262-5931
Provider SSA County
200
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST LUKE HOMES & SERVICES INC
Date First Approved to Provide Medicare and Medicaid services
2003-07-07
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.84794
Reported LPN Staffing Hours per Resident per Day
0.35722
Reported RN Staffing Hours per Resident per Day
0.76186
Reported Licensed Staffing Hours per Resident per Day
1.11907
Reported Total Nurse Staffing Hours per Resident per Day
3.96702
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01340
Expected CNA Staffing Hours per Resident per Day
2.45925
Expected LPN Staffing Hours per Resident per Day
0.55132
Expected RN Staffing Hours per Resident per Day
0.79042
Expected Total Nurse Staffing Hours per Resident per Day
3.80098
Adjusted CNA Staffing Hours per Resident per Day
2.84151
Adjusted LPN Staffing Hours per Resident per Day
0.53779
Adjusted RN Staffing Hours per Resident per Day
0.72021
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20698
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
20
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
2300
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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