Villa Del Sol - Marshalltown Nursing Home

General Information

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Federal Provider Number
165451
Provider Name
VILLA DEL SOL
Provider Address
2401 SOUTH SECOND STREET
MARSHALLTOWN, IA 50158
Provider Phone Number
(641) 752-1553
Provider SSA County
630
Provider County Name
Marshall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAWKEYE CARE CENTER OF MARSHALLTOWN
Date First Approved to Provide Medicare and Medicaid services
2002-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.42975
Reported LPN Staffing Hours per Resident per Day
0.68797
Reported RN Staffing Hours per Resident per Day
0.49114
Reported Licensed Staffing Hours per Resident per Day
1.17911
Reported Total Nurse Staffing Hours per Resident per Day
3.60886
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07215
Expected CNA Staffing Hours per Resident per Day
2.36171
Expected LPN Staffing Hours per Resident per Day
0.64364
Expected RN Staffing Hours per Resident per Day
0.93365
Expected Total Nurse Staffing Hours per Resident per Day
3.93900
Adjusted CNA Staffing Hours per Resident per Day
2.52439
Adjusted LPN Staffing Hours per Resident per Day
0.88716
Adjusted RN Staffing Hours per Resident per Day
0.39306
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69306
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
111
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
111
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
44.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
33345
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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