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Detailed information-QHC MITCHELLVILLE, LLC

This is the detailed information about QHC MITCHELLVILLE, LLC, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 165264
Provider Name: QHC MITCHELLVILLE, LLC
Provider State: IA
Provider Zip Code: 50169
Overall Rating: 1
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 27
Provider Phone Number: 5159673726
Provider City: MITCHELLVILLE
Provider SSA County Code: 760
Provider County Name: Polk
Provider Address: 114 CARTER STREET SW
Number of Certified Beds: 65
Number of Residents in Certified Beds: 46.5
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: QHC MITCHELLVILLE LLC
Date First Approved to Provide Medicare and Medicaid services: 1996-02-01
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: 4
QM Rating Footnote:
Staffing Rating: 3
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: 1.83862
Reported LPN Staffing Hours per Resident per Day: 0.65684
Reported RN Staffing Hours per Resident per Day: 0.49234
Reported Licensed Staffing Hours per Resident per Day: 1.14918
Reported Total Nurse Staffing Hours per Resident per Day: 2.98780
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.07205
Expected CNA Staffing Hours per Resident per Day: 1.92230
Expected LPN Staffing Hours per Resident per Day: 0.66453
Expected RN Staffing Hours per Resident per Day: 0.31558
Expected Total Nurse Staffing Hours per Resident per Day: 2.90241

Adjusted CNA Staffing Hours per Resident per Day: 1.99829
Adjusted LPN Staffing Hours per Resident per Day: 0.75008
Adjusted RN Staffing Hours per Resident per Day: 0.59349
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.32350
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: 10/19/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 10
Rating Cycle 1 Standard Survey Health Date: 2017-10-19
Rating Cycle 1 Total Number of Health Deficiencies: 20
Rating Cycle 1 Number of Standard Health Deficiencies: 10
Rating Cycle 1 Number of Complaint Health Deficiencies: 11
Rating Cycle 1 Health Deficiency Score: 136
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 136

Rating Cycle 2 Standard Health Survey Date: 2016-09-01
Rating Cycle 2 Total Number of Health Deficiencies: 15
Rating Cycle 2 Number of Standard Health Deficiencies: 10
Rating Cycle 2 Number of Complaint Health Deficiencies: 9
Rating Cycle 2 Health Deficiency Score: 112
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 112
Total Weighted Health Survey Score: 126.400
Number of Facility Reported Incidents: 4
Number of Fines: 3
Total Amount of Fines in Dollars: 80491
Number of Payment Denials: 2
Total Number of Penalties: 5
Processing Date: 2018-04-01