Entity Details - DIAL HFD

Compliance Details

Files

Entity

Entity:
Holy Spirit Retirement Home

Entity Type:
Free Standing NF/SNF

Address:
1701 West 25th Street, Sioux City

Phone:
(712) 252-2726

Visit Date:
11/30/2021

Entity Admin:
Kyla Louise Sprakel

Coordinator:
Dawn Carlson

Compliance Officer:
sharon.benson@dia.iowa.gov

Certification Actions:
Civil Money Penalty Imposed, Directed Plan of Correction Imposed

Licensure Actions:
Fining & Citation

Loss of NA Training Effective:

Loss of NA Training Expires:

Fine Summary

The maximum State fine amount allowed by Iowa law is $10,000. This fine could be doubled or trebled for repeat offenses for a maximum fine of $30,000 [Iowa Code 135C.36-44A].

Total Imposed State Fine:
$4,550.00

Federal Fines Imposed:

For details on federal fines, please visit the Quality, Certification, and Oversight reports website

State Waiver:
35%

State Fine Paid:
$4,550.00

State Fine Owed:
$0.00

Rule Codes	State/Federal	One Time Fine	Total Fine	Actions
58.28(3)e	State	$6,000.00	$6,000.00	Select Rule Codes
58.19(2)j	State	$500.00	$500.00	Select Rule Codes
58.11(3)	State	$500.00	$500.00	Select Rule Codes
F880	Federal		Federal Fine Information	Select Rule Codes

Code	Description

	File Name	Description
ScannedReport_828_2021-12-16_035214.pdf	ScannedReport_828_2021-12-16_035214.pdf	Visit Report
ScannedFC_828_2021-12-16_035214.pdf	ScannedFC_828_2021-12-16_035214.pdf	Citation Report