Country View Manor Inc
Country View Manor Inc Information
| Facility Name | Country View Manor Inc |
| Location | 100 Cedar Lane, Sibley, IA 51249 |
| County (SSA Code) | Osceola (710) |
| Phone Number | 712-754-2568 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 59 |
| Average Number of Residents | 39.8 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long 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 | COUNTRY VIEW MANOR INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2005-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.01743 |
| Reported LPN Staffing Hours per Resident per Day | 0.33962 |
| Reported RN Staffing - Hours per Resident per Day | 0.83902 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.17863 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.19606 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.81162 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.5759 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.26001 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.64753 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.84873 |
| Total Weighted Health Survey Score for three cycles | 30 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-02 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-11-28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-27 |
| Rating cycle 3 - Health Deficiency Score | 32 |
| Rating cycle 3 - Total Health Inspection Score | 32 |
| Number of Facility-Reported Incidents | 2 |
| 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 |