West Ridge Nursing & Rehab Center - Knoxville Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165308
Provider Name
WEST RIDGE NURSING & REHAB CENTER
Provider Address
1904 WEST HOWARD STREET
KNOXVILLE, IA 50138
KNOXVILLE, IA 50138
Provider Phone Number
(641) 842-3153
Provider SSA County
620
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1996-11-01
Continuing Care Retirement Community
N
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.69221
Reported LPN Staffing Hours per Resident per Day
0.47013
Reported RN Staffing Hours per Resident per Day
0.51299
Reported Licensed Staffing Hours per Resident per Day
0.98312
Reported Total Nurse Staffing Hours per Resident per Day
2.67533
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00909
Expected CNA Staffing Hours per Resident per Day
2.43413
Expected LPN Staffing Hours per Resident per Day
0.57020
Expected RN Staffing Hours per Resident per Day
0.83222
Expected Total Nurse Staffing Hours per Resident per Day
3.83655
Adjusted CNA Staffing Hours per Resident per Day
1.70582
Adjusted LPN Staffing Hours per Resident per Day
0.68433
Adjusted RN Staffing Hours per Resident per Day
0.46059
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81086
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
135
Cycle 2 Standard Health Survey Date
2012-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
135
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
63.66700
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
6013
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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