Holy Spirit Retirement Home
Holy Spirit Retirement Home Information
| Facility Name | Holy Spirit Retirement Home |
| Location | 1701 West 25th Street, Sioux City, IA 51103 |
| County (SSA Code) | Woodbury (960) |
| Phone Number | 712-252-2726 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 94 |
| Average Number of Residents | 65.7 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | HOLY SPIRIT RETIREMENT HOME INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1996-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.55562 |
| Reported LPN Staffing Hours per Resident per Day | 1.02382 |
| Reported RN Staffing - Hours per Resident per Day | 0.7468 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.77061 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.32624 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05165 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.9891 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.71969 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34833 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.05711 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.51172 |
| Total Weighted Health Survey Score for three cycles | 70.667 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-30 |
| Rating cycle 1 - Health Deficiency Score | 10 |
| Rating cycle 1 - Total Health Inspection Score | 120 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-05 |
| Rating cycle 2 - Health Deficiency Score | 80 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-17 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 4 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 8294 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |