Valley View Village - Des Moines Nursing Home
General Information
UPDATEFederal Provider Number
165507
Provider Name
VALLEY VIEW VILLAGE
Provider Address
2571 GUTHRIE AVENUE
DES MOINES, IA 50317
DES MOINES, IA 50317
Provider Phone Number
(515) 265-2571
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVANGELICAL RETIREMENT HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
2004-05-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.58607
Reported LPN Staffing Hours per Resident per Day
0.54836
Reported RN Staffing Hours per Resident per Day
0.76066
Reported Licensed Staffing Hours per Resident per Day
1.30902
Reported Total Nurse Staffing Hours per Resident per Day
4.89509
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00902
Expected CNA Staffing Hours per Resident per Day
2.39231
Expected LPN Staffing Hours per Resident per Day
0.57024
Expected RN Staffing Hours per Resident per Day
0.84706
Expected Total Nurse Staffing Hours per Resident per Day
3.80961
Adjusted CNA Staffing Hours per Resident per Day
3.67809
Adjusted LPN Staffing Hours per Resident per Day
0.79816
Adjusted RN Staffing Hours per Resident per Day
0.67099
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17944
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-11
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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