Imperial Manor Nursing Home - Imperial Nursing Home
General Information
UPDATEFederal Provider Number
285252
Provider Name
IMPERIAL MANOR NURSING HOME
Provider Address
P O BOX 757, 933 GRANT STREET
IMPERIAL, NE 69033
IMPERIAL, NE 69033
Provider Phone Number
3088825333
Provider SSA County
140
Provider County Name
Chase
Ownership Type
Government - City
Number of Certified Beds
53
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF IMPERIAL
Date First Approved to Provide Medicare and Medicaid services
2003-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
2.59211
Reported LPN Staffing Hours per Resident per Day
0.86842
Reported RN Staffing Hours per Resident per Day
1.02105
Reported Licensed Staffing Hours per Resident per Day
1.88947
Reported Total Nurse Staffing Hours per Resident per Day
4.48158
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01842
Expected CNA Staffing Hours per Resident per Day
2.33055
Expected LPN Staffing Hours per Resident per Day
0.61051
Expected RN Staffing Hours per Resident per Day
0.97001
Expected Total Nurse Staffing Hours per Resident per Day
3.91107
Adjusted CNA Staffing Hours per Resident per Day
2.72908
Adjusted LPN Staffing Hours per Resident per Day
1.18063
Adjusted RN Staffing Hours per Resident per Day
0.78652
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61889
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-03-21
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-03-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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
Sunrise Heights Of Wauneta
Po Box 520, 427 Legion Street |
WAUNETA NE 69045 | 16.1 miles away
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