Blackhawk Life Care Center
Blackhawk Life Care Center Information
| Facility Name | Blackhawk Life Care Center |
| Location | 73 West 5th Street, Lake View, IA 51450 |
| County (SSA Code) | Sac (800) |
| Phone Number | 712-657-8527 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 45 |
| Average Number of Residents | 25.5 |
| 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 |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | BLACKHAWK LIFECARE INC |
| Ownership Type | For profit - Individual |
| Date First Approved | 2003-01-02 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.7152 |
| Reported LPN Staffing Hours per Resident per Day | 0.12697 |
| Reported RN Staffing - Hours per Resident per Day | 1.10038 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.22735 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.94255 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01966 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.8737 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.62786 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.25444 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.75601 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.56079 |
| Total Weighted Health Survey Score for three cycles | 6.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-18 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-21 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-13 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 5700 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |