SOUTHEAST IOWA HEALTHCARE CENTER Nursing Home

SOUTHEAST IOWA HEALTHCARE CENTER Summary

Provider Name: SOUTHEAST IOWA HEALTHCARE CENTER

Address: 3140 PLANK ROAD, KEOKUK, IA 52632

Phone: (319) 524-1800

County: Lee (550)

Ownership Type: For profit - Limited Liability company

Certified Beds: 55

Average Residents Per Day: (10)

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: DAVES PLACE LLC

First Approved Date: November 2, 2023

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: (1)

Health Inspection Rating: (1)

QM Rating: (1)

Long Stay QM Rating: (1)

Short Stay QM Rating: (1)

Staffing Rating: (1)

Staffing Report Note: 6

PT Staffing Note: 6

Nurse Aide Staff Hours Per Day, per resident: , LPN Staff Hours Per Day: , RN Staff Hours Per Day: , Licensed Staff Hours Per Day:

Total Nurse Staff Hours Per Day, per resident:

Weekend Nurse Staff Hours: , Weekend RN Staff Hours:

PT Staff Hours Per Day, per resident:

Nurse Staff Turnover: , Nurse Turnover Note: 6

RN Turnover: , RN Turnover Note: 6

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: , Case Mix LPN Hours Per Day: , Case Mix RN Hours Per Day:

Adjusted Nurse Aide Hours Per Day, per resident: , Adjusted LPN Hours Per Day: , Adjusted RN Hours Per Day:

Total Adjusted Nurse Hours Per Day, per resident:

Adjusted Weekend Nurse Hours Per Day, per resident:

Health Survey Dates and Scores: Cycle 1: 2023-10-19 (Score: .), Cycle 2: (Score: .), Cycle 3: (Score: .)

Total Weighted Health Score:

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 3140 PLANK ROAD,KEOKUK,IA,52632 (40.4212, -91.407)

Process Date: 2024-03-01