Morys Haven - Columbus Nursing Home

General Information

UPDATE
Federal Provider Number
285152
Provider Name
MORYS HAVEN
Provider Address
1112 15TH STREET
COLUMBUS, NE 68601
Provider Phone Number
4025643197
Provider SSA County
700
Provider County Name
Platte
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE - NE INC
Date First Approved to Provide Medicare and Medicaid services
1994-01-25
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
2
QM Rating Footnote
Staffing Rating
3
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
2.10625
Reported LPN Staffing Hours per Resident per Day
0.55000
Reported RN Staffing Hours per Resident per Day
0.79250
Reported Licensed Staffing Hours per Resident per Day
1.34250
Reported Total Nurse Staffing Hours per Resident per Day
3.44875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.46042
Expected LPN Staffing Hours per Resident per Day
0.61930
Expected RN Staffing Hours per Resident per Day
0.96666
Expected Total Nurse Staffing Hours per Resident per Day
4.04637
Adjusted CNA Staffing Hours per Resident per Day
2.10050
Adjusted LPN Staffing Hours per Resident per Day
0.73713
Adjusted RN Staffing Hours per Resident per Day
0.61258
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43556
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-15
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
1
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

Nursiong Homes Nearby

Golden Livingcenter - Columbus

P O Box 625, 2855 40th Avenue | COLUMBUS NE 68602 | 2.1 miles away

Brookestone Acres

4715 38th Street | COLUMBUS NE 68601 | 2.7 miles away

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