Sunrise Retirement Community - Sioux City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165473
Provider Name
SUNRISE RETIREMENT COMMUNITY
Provider Address
5501 GORDON DRIVE EAST
SIOUX CITY, IA 51106
SIOUX CITY, IA 51106
Provider Phone Number
(712) 276-3821
Provider SSA County
960
Provider County Name
Woodbury
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNRISE MANOR
Date First Approved to Provide Medicare and Medicaid services
2003-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
4.01642
Reported LPN Staffing Hours per Resident per Day
0.94701
Reported RN Staffing Hours per Resident per Day
0.91194
Reported Licensed Staffing Hours per Resident per Day
1.85896
Reported Total Nurse Staffing Hours per Resident per Day
5.87537
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07239
Expected CNA Staffing Hours per Resident per Day
2.61646
Expected LPN Staffing Hours per Resident per Day
0.56738
Expected RN Staffing Hours per Resident per Day
0.77547
Expected Total Nurse Staffing Hours per Resident per Day
3.95931
Adjusted CNA Staffing Hours per Resident per Day
3.76658
Adjusted LPN Staffing Hours per Resident per Day
1.38534
Adjusted RN Staffing Hours per Resident per Day
0.87869
Adjusted Total Nurse Staffing Hours per Resident per Day
5.98160
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-07
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
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
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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