Wesley Acres - Des Moines Nursing Home

General Information

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Federal Provider Number
165487
Provider Name
WESLEY ACRES
Provider Address
3520 GRAND AVENUE
DES MOINES, IA 50312
Provider Phone Number
(515) 271-6500
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESLEY RETIREMENT SERVICES INC
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.18551
Reported LPN Staffing Hours per Resident per Day
0.37754
Reported RN Staffing Hours per Resident per Day
1.35652
Reported Licensed Staffing Hours per Resident per Day
1.73406
Reported Total Nurse Staffing Hours per Resident per Day
3.91957
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19493
Expected CNA Staffing Hours per Resident per Day
2.54818
Expected LPN Staffing Hours per Resident per Day
0.63980
Expected RN Staffing Hours per Resident per Day
1.09608
Expected Total Nurse Staffing Hours per Resident per Day
4.28406
Adjusted CNA Staffing Hours per Resident per Day
2.10448
Adjusted LPN Staffing Hours per Resident per Day
0.48978
Adjusted RN Staffing Hours per Resident per Day
0.92474
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68795
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
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
64
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
84.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
18
Number of Fines
1
Total Amount of Fines in Dollars
6143
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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