The Alverno Health Care Center - Clinton Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165509
Provider Name
THE ALVERNO HEALTH CARE CENTER
Provider Address
849 13TH AVENUE NORTH
CLINTON, IA 52732
CLINTON, IA 52732
Provider Phone Number
(563) 242-1521
Provider SSA County
220
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY CONTINUING CARE SERVICES
Date First Approved to Provide Medicare and Medicaid services
2004-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.27840
Reported LPN Staffing Hours per Resident per Day
0.29240
Reported RN Staffing Hours per Resident per Day
0.86440
Reported Licensed Staffing Hours per Resident per Day
1.15680
Reported Total Nurse Staffing Hours per Resident per Day
3.43520
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06920
Expected CNA Staffing Hours per Resident per Day
2.27983
Expected LPN Staffing Hours per Resident per Day
0.57042
Expected RN Staffing Hours per Resident per Day
0.86039
Expected Total Nurse Staffing Hours per Resident per Day
3.71064
Adjusted CNA Staffing Hours per Resident per Day
2.45216
Adjusted LPN Staffing Hours per Resident per Day
0.42546
Adjusted RN Staffing Hours per Resident per Day
0.75069
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73169
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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