United Presbyterian Home - Washington Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165482
Provider Name
UNITED PRESBYTERIAN HOME
Provider Address
1203 EAST WASHINGTON STREET
WASHINGTON, IA 52353
WASHINGTON, IA 52353
Provider Phone Number
(319) 653-5473
Provider SSA County
910
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
52
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED PRESBYTERIAN HOME
Date First Approved to Provide Medicare and Medicaid services
2003-05-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
2.73696
Reported LPN Staffing Hours per Resident per Day
0.45652
Reported RN Staffing Hours per Resident per Day
1.14022
Reported Licensed Staffing Hours per Resident per Day
1.59674
Reported Total Nurse Staffing Hours per Resident per Day
4.33370
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04239
Expected CNA Staffing Hours per Resident per Day
2.35915
Expected LPN Staffing Hours per Resident per Day
0.55478
Expected RN Staffing Hours per Resident per Day
0.77793
Expected Total Nurse Staffing Hours per Resident per Day
3.69185
Adjusted CNA Staffing Hours per Resident per Day
2.84666
Adjusted LPN Staffing Hours per Resident per Day
0.68300
Adjusted RN Staffing Hours per Resident per Day
1.09518
Adjusted Total Nurse Staffing Hours per Resident per Day
4.73169
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
24
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.00000
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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