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Sutherland Care Center - Sutherland Nursing Home

General Information

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Federal Provider Number
165458
Provider Name
SUTHERLAND CARE CENTER
Provider Address
506 EAST FOURTH STREET
SUTHERLAND, IA 51058
Provider Phone Number
(712) 446-3857
Provider SSA County
700
Provider County Name
Obrien
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SIGNATURE PROPERTIES OF SUTHERLAND LLC
Date First Approved to Provide Medicare and Medicaid services
2002-07-01
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
5
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
2.47857
Reported LPN Staffing Hours per Resident per Day
0.46667
Reported RN Staffing Hours per Resident per Day
0.91667
Reported Licensed Staffing Hours per Resident per Day
1.38333
Reported Total Nurse Staffing Hours per Resident per Day
3.86191
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.31218
Expected LPN Staffing Hours per Resident per Day
0.54419
Expected RN Staffing Hours per Resident per Day
0.84680
Expected Total Nurse Staffing Hours per Resident per Day
3.70316
Adjusted CNA Staffing Hours per Resident per Day
2.63027
Adjusted LPN Staffing Hours per Resident per Day
0.71177
Adjusted RN Staffing Hours per Resident per Day
0.80885
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20369
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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