Washington County Hospital - Washington Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
16E681
Provider Name
WASHINGTON COUNTY HOSPITAL
Provider Address
400 EAST POLK
WASHINGTON, IA 52353
WASHINGTON, IA 52353
Provider Phone Number
(319) 863-3958
Provider SSA County
910
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
43
Number of Residents in Certified Beds
42
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-09-20
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.15595
Reported LPN Staffing Hours per Resident per Day
0.46190
Reported RN Staffing Hours per Resident per Day
1.08571
Reported Licensed Staffing Hours per Resident per Day
1.54762
Reported Total Nurse Staffing Hours per Resident per Day
3.70356
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12738
Expected CNA Staffing Hours per Resident per Day
2.38749
Expected LPN Staffing Hours per Resident per Day
0.61835
Expected RN Staffing Hours per Resident per Day
0.80951
Expected Total Nurse Staffing Hours per Resident per Day
3.81535
Adjusted CNA Staffing Hours per Resident per Day
2.21574
Adjusted LPN Staffing Hours per Resident per Day
0.62000
Adjusted RN Staffing Hours per Resident per Day
1.00214
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91280
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
20
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
28.00000
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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