Qhc Fort Dodge Villa , Llc
Qhc Fort Dodge Villa , Llc Information
| Facility Name | Qhc Fort Dodge Villa , Llc |
| Location | 2721 10th Avenue North, Fort Dodge, IA 50501 |
| County (SSA Code) | Webster (930) |
| Phone Number | 515-576-7525 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 107 |
| Average Number of Residents | 81.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Special Focus Status | SFF Candidate |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | QHC FORT DODGE VILLA, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1996-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.5615 |
| Reported LPN Staffing Hours per Resident per Day | 0.34984 |
| Reported RN Staffing - Hours per Resident per Day | 0.37007 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.71991 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.28141 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0252 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.70832 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65531 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29718 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.6608 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.7336 |
| Total Weighted Health Survey Score for three cycles | 243.5 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-10 |
| Rating cycle 1 - Health Deficiency Score | 31 |
| Rating cycle 1 - Total Health Inspection Score | 354 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-12-07 |
| Rating cycle 2 - Health Deficiency Score | 354 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-11-14 |
| Rating cycle 3 - Health Deficiency Score | 64 |
| Rating cycle 3 - Total Health Inspection Score | 64 |
| Number of Facility-Reported Incidents | 3 |
| Number of Substantiated Complaints | 23 |
| Number of Substantiated Complaints | 23 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 204789 |
| Number of Payment Denials | 2 |
| Total Number of Penalties | 3 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |