The Cottages - Pella Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165607
Provider Name
THE COTTAGES
Provider Address
1742 MAIN STREET
PELLA, IA 50219
PELLA, IA 50219
Provider Phone Number
(641) 628-1244
Provider SSA County
620
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTHSTONE A MINISTRY OF WESLEYLIFE LLC
Date First Approved to Provide Medicare and Medicaid services
2014-05-30
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
0
Overall Rating Footnote
Too New to Rate
Health Inspection Rating
0
Health Inspection Rating Footnote
Too New to Rate
QM Rating
0
QM Rating Footnote
Too New to Rate
Staffing Rating
0
Staffing Rating Footnote
Too New to Rate
RN Staffing Rating
0
RN Staffing Rating Footnote
Too New to Rate
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.68333
Reported LPN Staffing Hours per Resident per Day
0.88333
Reported RN Staffing Hours per Resident per Day
1.06667
Reported Licensed Staffing Hours per Resident per Day
1.95000
Reported Total Nurse Staffing Hours per Resident per Day
4.63333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08583
Expected CNA Staffing Hours per Resident per Day
2.39721
Expected LPN Staffing Hours per Resident per Day
0.61127
Expected RN Staffing Hours per Resident per Day
0.85810
Expected Total Nurse Staffing Hours per Resident per Day
3.86658
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
0000-00-00
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
0000-00-00
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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