Ainsworth Care Center, Llc - Ainsworth Nursing Home

General Information

UPDATE
Federal Provider Number
285142
Provider Name
AINSWORTH CARE CENTER, LLC
Provider Address
143 NORTH FULLERTON STREET
AINSWORTH, NE 69210
Provider Phone Number
4023872500
Provider SSA County
80
Provider County Name
Brown
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AINSWORTH CARE CENTER LLC
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.37424
Reported LPN Staffing Hours per Resident per Day
0.33939
Reported RN Staffing Hours per Resident per Day
0.64091
Reported Licensed Staffing Hours per Resident per Day
0.98030
Reported Total Nurse Staffing Hours per Resident per Day
2.35454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07727
Expected CNA Staffing Hours per Resident per Day
2.53106
Expected LPN Staffing Hours per Resident per Day
0.64178
Expected RN Staffing Hours per Resident per Day
1.02850
Expected Total Nurse Staffing Hours per Resident per Day
4.20134
Adjusted CNA Staffing Hours per Resident per Day
1.33224
Adjusted LPN Staffing Hours per Resident per Day
0.43893
Adjusted RN Staffing Hours per Resident per Day
0.46562
Adjusted Total Nurse Staffing Hours per Resident per Day
2.25902
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
22
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
440
Cycle 1 Standard Survey Health Date
2014-12-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
440
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-11-13
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
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
266.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
9
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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