Countryside Health Care Center
Countryside Health Care Center Information
| Facility Name | Countryside Health Care Center |
| Location | 6120 Morningside Avenue, Sioux City, IA 51106 |
| County (SSA Code) | Woodbury (960) |
| Phone Number | 712-276-3000 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 69 |
| Average Number of Residents | 38.2 |
| 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 |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COUNTRYSIDE HEALTH INVESTORS LLC |
| Ownership Type | For profit - Individual |
| Date First Approved | 2004-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.84385 |
| Reported LPN Staffing Hours per Resident per Day | 0.47209 |
| Reported RN Staffing - Hours per Resident per Day | 1.03678 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.50887 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.35272 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0232 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.18348 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72994 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.35558 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.269 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.26984 |
| Total Weighted Health Survey Score for three cycles | 116.833 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-12 |
| Rating cycle 1 - Health Deficiency Score | 32 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-11-27 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-27 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 59346 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |