Indian Hills Healthcare Community - Ogallala Nursing Home
General Information
UPDATEFederal Provider Number
285091
Provider Name
INDIAN HILLS HEALTHCARE COMMUNITY
Provider Address
1720 NORTH SPRUCE
OGALLALA, NE 69153
OGALLALA, NE 69153
Provider Phone Number
3082844068
Provider SSA County
500
Provider County Name
Keith
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OGALLALA HEALTHCARE 1 LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-02
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28372
Reported LPN Staffing Hours per Resident per Day
0.69535
Reported RN Staffing Hours per Resident per Day
0.55581
Reported Licensed Staffing Hours per Resident per Day
1.25116
Reported Total Nurse Staffing Hours per Resident per Day
3.53488
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02442
Expected CNA Staffing Hours per Resident per Day
2.47867
Expected LPN Staffing Hours per Resident per Day
0.61832
Expected RN Staffing Hours per Resident per Day
0.94116
Expected Total Nurse Staffing Hours per Resident per Day
4.03815
Adjusted CNA Staffing Hours per Resident per Day
2.26071
Adjusted LPN Staffing Hours per Resident per Day
0.93341
Adjusted RN Staffing Hours per Resident per Day
0.44127
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52854
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-03-14
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
20
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
168
Cycle 3 Standard Health Survey Date
2012-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
168
Total Weighted Health Survey Score
99.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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