Stacyville Community Nursing Home
Stacyville Community Nursing Home Information
| Facility Name | Stacyville Community Nursing Home |
| Location | 413 South Broad Street, Stacyville, IA 50476 |
| County (SSA Code) | Mitchell (650) |
| Phone Number | 641-710-2215 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 34 |
| Average Number of Residents | 20.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | STACYVILLE COMMUNITY NURSING HOME |
| Ownership Type | Non profit - Other |
| Date First Approved | 2001-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.04103 |
| Reported LPN Staffing Hours per Resident per Day | 1.05303 |
| Reported RN Staffing - Hours per Resident per Day | 0.44574 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.49877 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.5398 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05152 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.78602 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.60126 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.25626 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.64354 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.47514 |
| Total Weighted Health Survey Score for three cycles | 5.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-05 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-18 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-10 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |