Titonka Care Center - Titonka Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165431
Provider Name
TITONKA CARE CENTER
Provider Address
312 FIRST AVENUE NW
TITONKA, IA 50480
TITONKA, IA 50480
Provider Phone Number
(515) 928-2600
Provider SSA County
540
Provider County Name
Kossuth
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TITONKA COMMUNITY REST HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-12-12
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.27800
Reported LPN Staffing Hours per Resident per Day
0.44200
Reported RN Staffing Hours per Resident per Day
1.05400
Reported Licensed Staffing Hours per Resident per Day
1.49600
Reported Total Nurse Staffing Hours per Resident per Day
3.77400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04000
Expected CNA Staffing Hours per Resident per Day
2.33025
Expected LPN Staffing Hours per Resident per Day
0.54061
Expected RN Staffing Hours per Resident per Day
0.76460
Expected Total Nurse Staffing Hours per Resident per Day
3.63546
Adjusted CNA Staffing Hours per Resident per Day
2.39869
Adjusted LPN Staffing Hours per Resident per Day
0.67861
Adjusted RN Staffing Hours per Resident per Day
1.03001
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18451
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
12.00000
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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