Beaver City Manor - Beaver City Nursing Home

General Information

UPDATE
Federal Provider Number
285269
Provider Name
BEAVER CITY MANOR
Provider Address
P O BOX 70, 905 FLOYD STREET
BEAVER CITY, NE 68926
Provider Phone Number
3082685111
Provider SSA County
320
Provider County Name
Furnas
Ownership Type
Government - City
Number of Certified Beds
28
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAVER CITY MANOR
Date First Approved to Provide Medicare and Medicaid services
2005-10-01
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
3
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
3.19318
Reported LPN Staffing Hours per Resident per Day
0.87045
Reported RN Staffing Hours per Resident per Day
0.66136
Reported Licensed Staffing Hours per Resident per Day
1.53182
Reported Total Nurse Staffing Hours per Resident per Day
4.72499
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01591
Expected CNA Staffing Hours per Resident per Day
2.52657
Expected LPN Staffing Hours per Resident per Day
0.61772
Expected RN Staffing Hours per Resident per Day
1.06761
Expected Total Nurse Staffing Hours per Resident per Day
4.21191
Adjusted CNA Staffing Hours per Resident per Day
3.10108
Adjusted LPN Staffing Hours per Resident per Day
1.16957
Adjusted RN Staffing Hours per Resident per Day
0.46287
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52193
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
28
Cycle 1 Standard Survey Health Date
2014-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2012-10-24
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
2011-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
48.66700
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

Nursiong Homes Nearby

Good Samaritan Society - Arapahoe

P O Box 448, 601 Main Street | ARAPAHOE NE 68922 | 12.3 miles away

Cambridge Manor

P O Box 488, West Hwy 6 & 34 | CAMBRIDGE NE 69022 | 20.4 miles away

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