CCN 165620
St Luke's Regional Medical Center SNF
801 Fifth Street, Sioux City, IA 51102 · Woodbury County
- Ownership
- Non profit - Corporation
- Certified beds
- 20
- Residents per day
- 6.5
- Health citations
- 3
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 5.16
- 2.52
- 2.32
- LPN/LVN
- 2.38
- 0.56
- 0.86
- Registered nurse
- 3.32
- 0.74
- 0.69
- Total nurse staff
- 10.85
- 3.82
- 3.86
- Weekend total
- 10.10
- 3.37
- 3.42
- Weekend RN
- 1.68
- 0.51
- 0.48
Adjusted total nurse hours: 11.26. Adjusted RN hours: 3.45. Case-mix total: 3.69. Case-mix index: 1.351.
Total nursing staff turnover: —. RN turnover: —. Administrators who left: —. This facility did not submit staffing data, or submitted staffing data that CMS considers invalid for calculating turnover. CMS assigns the minimum points for this measure when calculating the staffing score and rating.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: July 17, 2025. Health deficiencies counted in cycle 1: 0. Cycle 1 total health score: 0.
Cycle 2 standard survey: August 8, 2024. Cycle 2/3 health deficiencies: 0. Total weighted health survey score: 0.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 3 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
January 18, 2024
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Standard survey · Cycle 3 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 13, 2024 |
| F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Standard survey · Cycle 3 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 13, 2024 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 13, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections