Golden Livingcenter - Broken Bow - Broken Bow Nursing Home
General Information
UPDATEFederal Provider Number
285120
Provider Name
GOLDEN LIVINGCENTER - BROKEN BOW
Provider Address
224 EAST SOUTH E STREET
BROKEN BOW, NE 68822
BROKEN BOW, NE 68822
Provider Phone Number
3088726421
Provider SSA County
200
Provider County Name
Custer
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC BROKEN BOW LLC
Date First Approved to Provide Medicare and Medicaid services
1992-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.58229
Reported LPN Staffing Hours per Resident per Day
1.13542
Reported RN Staffing Hours per Resident per Day
0.33125
Reported Licensed Staffing Hours per Resident per Day
1.46667
Reported Total Nurse Staffing Hours per Resident per Day
3.04896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05625
Expected CNA Staffing Hours per Resident per Day
2.33176
Expected LPN Staffing Hours per Resident per Day
0.57811
Expected RN Staffing Hours per Resident per Day
0.89642
Expected Total Nurse Staffing Hours per Resident per Day
3.80629
Adjusted CNA Staffing Hours per Resident per Day
1.66504
Adjusted LPN Staffing Hours per Resident per Day
1.63015
Adjusted RN Staffing Hours per Resident per Day
0.27611
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22888
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-11-08
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
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
44
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Jennie M Melham Medical Center
P O Box 250, 145 Memorial Drive |
BROKEN BOW NE 68822 | 0.5 mile away
Callaway Good Life Center, Inc
Po Box 250, 600 West Kimball Street |
CALLAWAY NE 68825 | 16.8 miles away
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