University Park Nursing & Rehabilitation Center - Des Moines Nursing Home
General Information
UPDATEFederal Provider Number
165272
Provider Name
UNIVERSITY PARK NURSING & REHABILITATION CENTER
Provider Address
233 UNIVERSITY AVENUE
DES MOINES, IA 50314
DES MOINES, IA 50314
Provider Phone Number
(515) 284-1280
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
108
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE HEALTH FACILITIES XVII LP
Date First Approved to Provide Medicare and Medicaid services
1996-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.51429
Reported LPN Staffing Hours per Resident per Day
0.27347
Reported RN Staffing Hours per Resident per Day
1.02296
Reported Licensed Staffing Hours per Resident per Day
1.29643
Reported Total Nurse Staffing Hours per Resident per Day
3.81072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01378
Expected CNA Staffing Hours per Resident per Day
2.46566
Expected LPN Staffing Hours per Resident per Day
0.65487
Expected RN Staffing Hours per Resident per Day
1.06475
Expected Total Nurse Staffing Hours per Resident per Day
4.18528
Adjusted CNA Staffing Hours per Resident per Day
2.50209
Adjusted LPN Staffing Hours per Resident per Day
0.34661
Adjusted RN Staffing Hours per Resident per Day
0.71787
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67016
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
40
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
650
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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