Willow Gardens Care Center - Marion Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165171
Provider Name
WILLOW GARDENS CARE CENTER
Provider Address
455 31ST STREET
MARION, IA 52302
MARION, IA 52302
Provider Phone Number
(319) 377-7363
Provider SSA County
560
Provider County Name
Linn
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AHF KENTUCKY-IOWA, INC
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34848
Reported LPN Staffing Hours per Resident per Day
0.64924
Reported RN Staffing Hours per Resident per Day
1.01667
Reported Licensed Staffing Hours per Resident per Day
1.66591
Reported Total Nurse Staffing Hours per Resident per Day
4.01439
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01970
Expected CNA Staffing Hours per Resident per Day
2.38066
Expected LPN Staffing Hours per Resident per Day
0.63802
Expected RN Staffing Hours per Resident per Day
1.12996
Expected Total Nurse Staffing Hours per Resident per Day
4.14864
Adjusted CNA Staffing Hours per Resident per Day
2.42053
Adjusted LPN Staffing Hours per Resident per Day
0.84459
Adjusted RN Staffing Hours per Resident per Day
0.67229
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90046
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
15
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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