Nebraska Nursing Homes >> Omaha Nursing Homes >> Maple Crest Care Center

Maple Crest Care Center - Omaha Nursing Home

General Information

UPDATE
Federal Provider Number
285149
Provider Name
MAPLE CREST CARE CENTER
Provider Address
2824 NORTH 66TH AVENUE
OMAHA, NE 68104
Provider Phone Number
4025512110
Provider SSA County
270
Provider County Name
Douglas
Ownership Type
Non profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN BAPTIST HOMES OF THE MIDWEST
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00175
Reported LPN Staffing Hours per Resident per Day
0.81886
Reported RN Staffing Hours per Resident per Day
0.67018
Reported Licensed Staffing Hours per Resident per Day
1.48904
Reported Total Nurse Staffing Hours per Resident per Day
4.49079
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03991
Expected CNA Staffing Hours per Resident per Day
2.55674
Expected LPN Staffing Hours per Resident per Day
0.64651
Expected RN Staffing Hours per Resident per Day
0.95819
Expected Total Nurse Staffing Hours per Resident per Day
4.16144
Adjusted CNA Staffing Hours per Resident per Day
2.88078
Adjusted LPN Staffing Hours per Resident per Day
1.05127
Adjusted RN Staffing Hours per Resident per Day
0.52261
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34992
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-20
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
52
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
6
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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