Wheatland Manor - Wheatland Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165377
Provider Name
WHEATLAND MANOR
Provider Address
316 EAST LINCOLNWAY
WHEATLAND, IA 52777
WHEATLAND, IA 52777
Provider Phone Number
(563) 374-1295
Provider SSA County
220
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHEATLAND MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1998-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.93684
Reported LPN Staffing Hours per Resident per Day
0.29737
Reported RN Staffing Hours per Resident per Day
0.81711
Reported Licensed Staffing Hours per Resident per Day
1.11447
Reported Total Nurse Staffing Hours per Resident per Day
3.05132
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02763
Expected CNA Staffing Hours per Resident per Day
2.30516
Expected LPN Staffing Hours per Resident per Day
0.53326
Expected RN Staffing Hours per Resident per Day
0.75952
Expected Total Nurse Staffing Hours per Resident per Day
3.59794
Adjusted CNA Staffing Hours per Resident per Day
2.06165
Adjusted LPN Staffing Hours per Resident per Day
0.46285
Adjusted RN Staffing Hours per Resident per Day
0.80385
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41851
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
2014-09-04
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
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
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.66700
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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