Valley County Health System Long Term Care - Ord Nursing Home
General Information
UPDATEFederal Provider Number
280000000000000000000000000000
Provider Name
VALLEY COUNTY HEALTH SYSTEM LONG TERM CARE
Provider Address
220 SOUTH 26TH STREET
ORD, NE 68862
ORD, NE 68862
Provider Phone Number
3087284245
Provider SSA County
870
Provider County Name
Valley
Ownership Type
Government - County
Number of Certified Beds
53
Number of Residents in Certified Beds
28
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-07-21
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
3
Health Inspection Rating Footnote
QM Rating
3
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
4.06429
Reported LPN Staffing Hours per Resident per Day
0.75179
Reported RN Staffing Hours per Resident per Day
1.06071
Reported Licensed Staffing Hours per Resident per Day
1.81250
Reported Total Nurse Staffing Hours per Resident per Day
5.87679
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01071
Expected CNA Staffing Hours per Resident per Day
2.58667
Expected LPN Staffing Hours per Resident per Day
0.59726
Expected RN Staffing Hours per Resident per Day
0.86077
Expected Total Nurse Staffing Hours per Resident per Day
4.04470
Adjusted CNA Staffing Hours per Resident per Day
3.85537
Adjusted LPN Staffing Hours per Resident per Day
1.04474
Adjusted RN Staffing Hours per Resident per Day
0.92076
Adjusted Total Nurse Staffing Hours per Resident per Day
5.85674
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-15
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
33.33300
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
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