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Detailed information-PEARL VALLEY REHABILITATION & HEALTHCARE CENTER O

This is the detailed information about PEARL VALLEY REHABILITATION & HEALTHCARE CENTER O, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 165453
Provider State: IA
Provider Zip Code: 52353
Overall Rating: 1
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 53
Provider Phone Number: 3196536526
Provider City: WASHINGTON
Provider SSA County Code: 910
Provider County Name: Washington
Provider Address: 601 E POLK ST
Number of Certified Beds: 90
Number of Residents in Certified Beds: 43.1
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 2002-05-01
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: 3
QM Rating Footnote:
Staffing Rating: 3
Staffing Rating Footnote:
RN Staffing Rating: 3
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.47530
Reported LPN Staffing Hours per Resident per Day: 0.50396
Reported RN Staffing Hours per Resident per Day: 0.59976
Reported Licensed Staffing Hours per Resident per Day: 1.10372
Reported Total Nurse Staffing Hours per Resident per Day: 3.57902
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.00000
Expected CNA Staffing Hours per Resident per Day: 1.91910
Expected LPN Staffing Hours per Resident per Day: 0.81225
Expected RN Staffing Hours per Resident per Day: 0.43420
Expected Total Nurse Staffing Hours per Resident per Day: 3.16555

Adjusted CNA Staffing Hours per Resident per Day: 2.69475
Adjusted LPN Staffing Hours per Resident per Day: 0.47083
Adjusted RN Staffing Hours per Resident per Day: 0.52547
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.65021
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: 08/14/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 9
Rating Cycle 1 Standard Survey Health Date: 2017-08-14
Rating Cycle 1 Total Number of Health Deficiencies: 24
Rating Cycle 1 Number of Standard Health Deficiencies: 9
Rating Cycle 1 Number of Complaint Health Deficiencies: 20
Rating Cycle 1 Health Deficiency Score: 271
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 271

Rating Cycle 2 Standard Health Survey Date: 2016-06-23
Rating Cycle 2 Total Number of Health Deficiencies: 25
Rating Cycle 2 Number of Standard Health Deficiencies: 22
Rating Cycle 2 Number of Complaint Health Deficiencies: 18
Rating Cycle 2 Health Deficiency Score: 236
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 236
Total Weighted Health Survey Score: 257.000
Number of Facility Reported Incidents: 9
Number of Fines: 1
Total Amount of Fines in Dollars: 6776
Number of Payment Denials: 1
Total Number of Penalties: 2
Processing Date: 2018-04-01