Lincoln Community Hospital Nursing Home - Hugo Nursing Home
General Information
UPDATEFederal Provider Number
65187
Provider Name
LINCOLN COMMUNITY HOSPITAL NURSING HOME
Provider Address
111 6TH STREET
HUGO, CO 80821
HUGO, CO 80821
Provider Phone Number
7197432421
Provider SSA County
360
Provider County Name
Lincoln
Ownership Type
Government - City/county
Number of Certified Beds
35
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
3.88636
Reported LPN Staffing Hours per Resident per Day
0.90000
Reported RN Staffing Hours per Resident per Day
1.26591
Reported Licensed Staffing Hours per Resident per Day
2.16591
Reported Total Nurse Staffing Hours per Resident per Day
6.05227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06591
Expected CNA Staffing Hours per Resident per Day
2.40149
Expected LPN Staffing Hours per Resident per Day
0.71698
Expected RN Staffing Hours per Resident per Day
1.00021
Expected Total Nurse Staffing Hours per Resident per Day
4.11868
Adjusted CNA Staffing Hours per Resident per Day
3.97085
Adjusted LPN Staffing Hours per Resident per Day
1.04188
Adjusted RN Staffing Hours per Resident per Day
0.94569
Adjusted Total Nurse Staffing Hours per Resident per Day
5.92328
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
48
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-02-14
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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