Tiffany Square Care Center - Grand Island Nursing Home
General Information
UPDATEFederal Provider Number
285087
Provider Name
TIFFANY SQUARE CARE CENTER
Provider Address
3119 WEST FAIDLEY AVENUE
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
Provider Phone Number
3083842333
Provider SSA County
390
Provider County Name
Hall
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND ISLAND HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1989-03-20
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
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
3.57701
Reported LPN Staffing Hours per Resident per Day
0.57011
Reported RN Staffing Hours per Resident per Day
0.63218
Reported Licensed Staffing Hours per Resident per Day
1.20230
Reported Total Nurse Staffing Hours per Resident per Day
4.77930
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05345
Expected CNA Staffing Hours per Resident per Day
2.42559
Expected LPN Staffing Hours per Resident per Day
0.61449
Expected RN Staffing Hours per Resident per Day
0.95243
Expected Total Nurse Staffing Hours per Resident per Day
3.99251
Adjusted CNA Staffing Hours per Resident per Day
3.61847
Adjusted LPN Staffing Hours per Resident per Day
0.77005
Adjusted RN Staffing Hours per Resident per Day
0.49596
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82525
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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
Chi Health St Francis
2116 West Faidley Avenue |
GRAND ISLAND NE 68803 | 0.7 mile away
Wedgewood Care Center
800 Stoeger Drive |
GRAND ISLAND NE 68803 | 0.7 mile away
Golden Livingcenter - Grand Island Park Place
610 North Darr Avenue |
GRAND ISLAND NE 68803 | 0.7 mile away
Good Samaritan Society - Grand Island Village
4061 Timberline Street & 4055 Timberline Street |
GRAND ISLAND NE 68803 | 1.8 miles away
Golden Livingcenter - Grand Island Lakeview
1405 West Hwy 34 |
GRAND ISLAND NE 68801 | 2.9 miles away
Good Samaritan Society - Wood River
1401 East Street |
WOOD RIVER NE 68883 | 13.5 miles away
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