Westwood Nursing & Rehab Cente - Sioux City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165271
Provider Name
WESTWOOD NURSING & REHAB CENTE
Provider Address
4201 FIELDCREST DRIVE
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
Provider Phone Number
(712) 258-0135
Provider SSA County
960
Provider County Name
Woodbury
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
80
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
1996-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.73188
Reported LPN Staffing Hours per Resident per Day
0.69063
Reported RN Staffing Hours per Resident per Day
0.67563
Reported Licensed Staffing Hours per Resident per Day
1.36625
Reported Total Nurse Staffing Hours per Resident per Day
3.09814
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03188
Expected CNA Staffing Hours per Resident per Day
2.65801
Expected LPN Staffing Hours per Resident per Day
0.62362
Expected RN Staffing Hours per Resident per Day
0.91518
Expected Total Nurse Staffing Hours per Resident per Day
4.19680
Adjusted CNA Staffing Hours per Resident per Day
1.59876
Adjusted LPN Staffing Hours per Resident per Day
0.91918
Adjusted RN Staffing Hours per Resident per Day
0.55162
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97567
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-05
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
5
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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