Meth-wick Health Center
1224 13th Street Nw, Cedar Rapids, IA 52405


Meth-wick Health Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 165542. The address is 1224 13th Street Nw, Cedar Rapids, IA 52405. The zip code is 52405. The phone number is 3193659171.


Meth-wick Health Center · 1224 13th Street Nw, Cedar Rapids, IA 52405

Federal Provider Number 165542
Provider Name METH-WICK HEALTH CENTER
Address 1224 13TH STREET NW
CEDAR RAPIDS, IA 52405
Phone Number 3193659171
SSA County Code 560
County Name Linn
Ownership Type Non profit - Corporation
Certified Beds 65
Certified Beds Residents 59
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name METH WICK COMMUNITY
Date First Approved to Provide Medicare Medicaid Services 07/01/2004
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.6161
Reported LPN Staffing Hours per Resident per Day 0.50085
Reported RN Staffing Hours per Resident per Day 0.63305
Reported Licensed Staffing Hours per Resident per Day 1.1339
Reported Total Nurse Staffing Hours per Resident per Day 3.75
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05932
Expected CNA Staffing Hours per Resident per Day 2.67016
Expected LPN Staffing Hours per Resident per Day 0.5598
Expected RN Staffing Hours per Resident per Day 0.78056
Expected Total Nurse Staffing Hours per Resident per Day 4.01051
Adjusted CNA Staffing Hours per Resident per Day 2.40402
Adjusted LPN Staffing Hours per Resident per Day 0.7426
Adjusted RN Staffing Hours per Resident per Day 0.606
Adjusted Total Nurse Staffing Hours per Resident per Day 3.76906
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 12/01/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 111
Cycle 2 Standard Health Survey Date 12/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 111
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 6
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 10/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 46.333
Number of Facility Reported Incidents 1
Number of Fines 1
Total Amount of Fines in Dollars $23400.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Meth-wick Health Center

Owner Name Role Association Date
ALLEMANG, DOUGLAS (Individual) DIRECTOR since 06/01/2008
ALLEMANG, DOUGLAS (Individual) OFFICER since 06/01/2008
AUSTAD, DIANNE (Individual) DIRECTOR since 06/01/2011
AUSTAD, DIANNE (Individual) OFFICER since 06/01/2014
BERKHOF, ARLON (Individual) DIRECTOR since 06/01/2011
BUNTZ, ROBERT (Individual) DIRECTOR since 02/01/2008
DAVIS, TERRI (Individual) DIRECTOR since 06/01/2015
DRAPER, PAUL (Individual) DIRECTOR since 06/01/2012
ERNST, GARY (Individual) DIRECTOR since 06/01/2008
ERNST, GARY (Individual) OFFICER since 06/01/2015
FLAGEL, LAVERNE (Individual) DIRECTOR since 06/01/2010
HADLEY, LEONARD (Individual) DIRECTOR since 12/13/2012
HANDLER, JAN (Individual) DIRECTOR since 06/01/2015
HERRING, JOHN (Individual) DIRECTOR since 06/01/2015
JAEGER, RONALD (Individual) MANAGING EMPLOYEE since 12/30/2016
JOHNSON, GUSTAVE (Individual) DIRECTOR since 06/01/2011
JOHNSON, GUSTAVE (Individual) OFFICER since 06/01/2015
LINDBERG, DEBORAH (Individual) DIRECTOR since 06/01/2015
LINDBERG, DEBORAH (Individual) OFFICER since 06/01/2015
MADSEN, ERIK (Individual) DIRECTOR since 06/01/2016
METH WICK COMMUNITY (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2004
MIXDORF, ROBIN (Individual) OFFICER since 02/15/1999
NEBERGALL, RUTH (Individual) DIRECTOR since 06/28/2012
OLSON, SCOTT (Individual) DIRECTOR since 06/01/2010
OSBORN, MARY (Individual) DIRECTOR since 06/21/2014
RUSSELL, JAMES (Individual) DIRECTOR since 06/01/2008
SCHMIDT, DARA (Individual) DIRECTOR since 06/01/2015
SCHMITT, SUSAN (Individual) MANAGING EMPLOYEE since 01/01/2016
YODER, ERICA (Individual) DIRECTOR since 06/01/2013

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