Pioneer Manor Nursing Home - Hay Springs Nursing Home
General Information
UPDATEFederal Provider Number
285212
Provider Name
PIONEER MANOR NURSING HOME
Provider Address
P O BOX 310, 318 N 3RD STREET
HAY SPRINGS, NE 69347
HAY SPRINGS, NE 69347
Provider Phone Number
3086384483
Provider SSA County
800
Provider County Name
Sheridan
Ownership Type
Government - City
Number of Certified Beds
57
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF HAY SPRINGS PIONEER MANOR NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1997-05-01
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
2
QM Rating Footnote
Staffing Rating
4
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
2.93646
Reported LPN Staffing Hours per Resident per Day
1.01771
Reported RN Staffing Hours per Resident per Day
0.48438
Reported Licensed Staffing Hours per Resident per Day
1.50208
Reported Total Nurse Staffing Hours per Resident per Day
4.43855
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08958
Expected CNA Staffing Hours per Resident per Day
2.24308
Expected LPN Staffing Hours per Resident per Day
0.58593
Expected RN Staffing Hours per Resident per Day
0.93325
Expected Total Nurse Staffing Hours per Resident per Day
3.76226
Adjusted CNA Staffing Hours per Resident per Day
3.21219
Adjusted LPN Staffing Hours per Resident per Day
1.44164
Adjusted RN Staffing Hours per Resident per Day
0.38782
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75548
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-06-03
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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
Gordon Countryside Care
500 East 10th Street |
GORDON NE 69343 | 26.4 miles away
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