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Detailed information-CASA DE PAZ HEALTH CARE CENTER

This is the detailed information about CASA DE PAZ HEALTH CARE CENTER, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 165174
Provider Name: CASA DE PAZ HEALTH CARE CENTER
Provider State: IA
Provider Zip Code: 51103
Overall Rating: 1
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 36
Provider Phone Number: 7122333127
Provider City: SIOUX CITY
Provider SSA County Code: 960
Provider County Name: Woodbury
Provider Address: 2121 WEST 19TH STREET
Number of Certified Beds: 71
Number of Residents in Certified Beds: 50.8
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: PREMIER ESTATES 510, LLC
Date First Approved to Provide Medicare and Medicaid services: 1992-10-28
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 1
Health Inspection Rating Footnote:
QM Rating: 3
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: 1.69375
Reported LPN Staffing Hours per Resident per Day: 0.26894
Reported RN Staffing Hours per Resident per Day: 0.85828
Reported Licensed Staffing Hours per Resident per Day: 1.12722
Reported Total Nurse Staffing Hours per Resident per Day: 2.82097
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.07423
Expected CNA Staffing Hours per Resident per Day: 1.91728
Expected LPN Staffing Hours per Resident per Day: 0.73746
Expected RN Staffing Hours per Resident per Day: 0.35372
Expected Total Nurse Staffing Hours per Resident per Day: 3.00846

Adjusted CNA Staffing Hours per Resident per Day: 1.84566
Adjusted LPN Staffing Hours per Resident per Day: 0.27674
Adjusted RN Staffing Hours per Resident per Day: 0.92305
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.02731
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 04/20/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 5
Rating Cycle 1 Standard Survey Health Date: 2017-04-20
Rating Cycle 1 Total Number of Health Deficiencies: 25
Rating Cycle 1 Number of Standard Health Deficiencies: 5
Rating Cycle 1 Number of Complaint Health Deficiencies: 25
Rating Cycle 1 Health Deficiency Score: 392
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 392

Rating Cycle 2 Standard Health Survey Date: 2016-03-24
Rating Cycle 2 Total Number of Health Deficiencies: 12
Rating Cycle 2 Number of Standard Health Deficiencies: 7
Rating Cycle 2 Number of Complaint Health Deficiencies: 5
Rating Cycle 2 Health Deficiency Score: 72
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 72
Total Weighted Health Survey Score: 264.000
Number of Facility Reported Incidents: 3
Number of Fines: 3
Total Amount of Fines in Dollars: 121151
Number of Payment Denials: 1
Total Number of Penalties: 4
Processing Date: 2018-04-01