Nebraska Nursing Homes >> Verdigre Nursing Homes >> Alpine Village Retirement Center

Alpine Village Retirement Center - Verdigre Nursing Home

General Information

UPDATE
Federal Provider Number
285190
Provider Name
ALPINE VILLAGE RETIREMENT CENTER
Provider Address
PO BOX 130, 706 JAMES STREET
VERDIGRE, NE 68783
Provider Phone Number
4026682209
Provider SSA County
530
Provider County Name
Knox
Ownership Type
Government - City
Number of Certified Beds
58
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALPINE VILLAGE RETIREMENT CENTER
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
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
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
2.76622
Reported LPN Staffing Hours per Resident per Day
0.63649
Reported RN Staffing Hours per Resident per Day
0.89730
Reported Licensed Staffing Hours per Resident per Day
1.53378
Reported Total Nurse Staffing Hours per Resident per Day
4.30001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04595
Expected CNA Staffing Hours per Resident per Day
2.35253
Expected LPN Staffing Hours per Resident per Day
0.58672
Expected RN Staffing Hours per Resident per Day
0.87116
Expected Total Nurse Staffing Hours per Resident per Day
3.81041
Adjusted CNA Staffing Hours per Resident per Day
2.88518
Adjusted LPN Staffing Hours per Resident per Day
0.90040
Adjusted RN Staffing Hours per Resident per Day
0.76962
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54883
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
36
Cycle 2 Standard Health Survey Date
2013-03-28
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
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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