Sunnycrest Manor - Dubuque Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165556
Provider Name
SUNNYCREST MANOR
Provider Address
2375 ROOSEVELT STREET
DUBUQUE, IA 52001
DUBUQUE, IA 52001
Provider Phone Number
(563) 583-1781
Provider SSA County
300
Provider County Name
Dubuque
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
77
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF DUBUQUE
Date First Approved to Provide Medicare and Medicaid services
2005-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
3.26600
Reported LPN Staffing Hours per Resident per Day
0.65400
Reported RN Staffing Hours per Resident per Day
0.73867
Reported Licensed Staffing Hours per Resident per Day
1.39267
Reported Total Nurse Staffing Hours per Resident per Day
4.65867
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01533
Expected CNA Staffing Hours per Resident per Day
2.17522
Expected LPN Staffing Hours per Resident per Day
0.59988
Expected RN Staffing Hours per Resident per Day
0.85685
Expected Total Nurse Staffing Hours per Resident per Day
3.63195
Adjusted CNA Staffing Hours per Resident per Day
3.68413
Adjusted LPN Staffing Hours per Resident per Day
0.90487
Adjusted RN Staffing Hours per Resident per Day
0.64414
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17040
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
24
Cycle 1 Standard Survey Health Date
2015-02-26
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
8
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
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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