Union Park Health Services - Des Moines Nursing Home

General Information

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Federal Provider Number
165202
Provider Name
UNION PARK HEALTH SERVICES
Provider Address
2401 EAST EIGHTH STREET
DES MOINES, IA 50316
Provider Phone Number
(515) 262-9303
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE-IA INC
Date First Approved to Provide Medicare and Medicaid services
1994-01-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.85088
Reported LPN Staffing Hours per Resident per Day
0.86491
Reported RN Staffing Hours per Resident per Day
0.50789
Reported Licensed Staffing Hours per Resident per Day
1.37281
Reported Total Nurse Staffing Hours per Resident per Day
3.22368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13772
Expected CNA Staffing Hours per Resident per Day
2.44499
Expected LPN Staffing Hours per Resident per Day
0.59409
Expected RN Staffing Hours per Resident per Day
0.88298
Expected Total Nurse Staffing Hours per Resident per Day
3.92205
Adjusted CNA Staffing Hours per Resident per Day
1.85747
Adjusted LPN Staffing Hours per Resident per Day
1.20837
Adjusted RN Staffing Hours per Resident per Day
0.42979
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31315
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-01-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
122.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
41
Number of Fines
2
Total Amount of Fines in Dollars
13390
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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