Nebraska Nursing Homes >> Randolph Nursing Homes >> Colonial Manor Of Randolph

Colonial Manor Of Randolph - Randolph Nursing Home

General Information

UPDATE
Federal Provider Number
285183
Provider Name
COLONIAL MANOR OF RANDOLPH
Provider Address
P O BOX 67, 811 SOUTH MAIN STREET
RANDOLPH, NE 68771
Provider Phone Number
4023370444
Provider SSA County
130
Provider County Name
Cedar
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RANDOLPH HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.98333
Reported LPN Staffing Hours per Resident per Day
0.97424
Reported RN Staffing Hours per Resident per Day
0.75303
Reported Licensed Staffing Hours per Resident per Day
1.72727
Reported Total Nurse Staffing Hours per Resident per Day
3.71060
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07576
Expected CNA Staffing Hours per Resident per Day
2.35724
Expected LPN Staffing Hours per Resident per Day
0.57458
Expected RN Staffing Hours per Resident per Day
0.77339
Expected Total Nurse Staffing Hours per Resident per Day
3.70521
Adjusted CNA Staffing Hours per Resident per Day
2.06449
Adjusted LPN Staffing Hours per Resident per Day
1.40731
Adjusted RN Staffing Hours per Resident per Day
0.72753
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03677
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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