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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 Beds59
Average Number of Residents39.8
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameCOUNTRY VIEW MANOR INC
Ownership TypeFor profit - Corporation
Date First Approved2005-01-01

Reported Nurse Aide Staffing Hours per Resident per Day2.01743
Reported LPN Staffing Hours per Resident per Day0.33962
Reported RN Staffing - Hours per Resident per Day0.83902
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 Day1.81162
Case-Mix LPN Staffing - Hours per Resident per Day0.5759
Case-Mix RN Staffing - Hours per Resident per Day0.26001
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 cycles30
Rating cycle 1 Standard Survey Health Date2019-05-02
Rating cycle 1 - Health Deficiency Score6
Date of Rating cycle 2 Standard Health Survey Date2017-11-28
Date of Rating cycle 3 Standard Health Survey Date2016-10-27
Rating cycle 3 - Health Deficiency Score32
Rating cycle 3 - Total Health Inspection Score32

Number of Facility-Reported Incidents2
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28