Independence Village Of Waukee - Waukee Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165583
Provider Name
Independence Village of Waukee
Provider Address
1645 SE HOLIDAY CREST CIRCLE
WAUKEE, IA 50263
WAUKEE, IA 50263
Provider Phone Number
(515) 987-3625
Provider SSA County
240
Provider County Name
Dallas
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
48
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERMARK WAUKEE, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-12-20
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.55889
Reported LPN Staffing Hours per Resident per Day
0.57667
Reported RN Staffing Hours per Resident per Day
1.14000
Reported Licensed Staffing Hours per Resident per Day
1.71667
Reported Total Nurse Staffing Hours per Resident per Day
4.27556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12667
Expected CNA Staffing Hours per Resident per Day
2.45492
Expected LPN Staffing Hours per Resident per Day
0.61909
Expected RN Staffing Hours per Resident per Day
1.06517
Expected Total Nurse Staffing Hours per Resident per Day
4.13919
Adjusted CNA Staffing Hours per Resident per Day
2.55761
Adjusted LPN Staffing Hours per Resident per Day
0.77313
Adjusted RN Staffing Hours per Resident per Day
0.79969
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16370
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
78
Cycle 2 Total Health Score
234
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-01-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
114.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
22
Number of Fines
2
Total Amount of Fines in Dollars
16413
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
Reviews: Be the first to review this provider.
Share your experience with Independence Village Of Waukee. You can help others by writing a review.
Ask the Community
Connect, Seek Advice, Share Knowledge
Nursiong Homes Nearby
Spurgeon Manor
1204 Linden Street |
DALLAS CENTER IA 50063 | 7.7 miles away
Adel Acres
1919 Greene Street |
ADEL IA 50003 | 10 miles away
Granger Nursing & Rehabilitation Center
2001 Kennedy Street |
GRANGER IA 50109 | 10.4 miles away
Rowley Memorial Masonic Home
3000 East Willis Avenue |
PERRY IA 50220 | 19.8 miles away
Perry Health Care Center
2625 Iowa Street |
PERRY IA 50220 | 19.8 miles away
Perry Lutheran Home
2323 East Willis Avenue |
PERRY IA 50220 | 20.2 miles away