Belle Terrace - Tecumseh Nursing Home
General Information
UPDATEFederal Provider Number
285237
Provider Name
BELLE TERRACE
Provider Address
1133 NORTH THIRD ST
TECUMSEH, NE 68450
TECUMSEH, NE 68450
Provider Phone Number
4023353357
Provider SSA County
480
Provider County Name
Johnson
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELLE HOLDINGS, INC.
Date First Approved to Provide Medicare and Medicaid services
1999-08-05
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
3
Health Inspection Rating Footnote
QM Rating
3
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
2.04886
Reported LPN Staffing Hours per Resident per Day
0.88068
Reported RN Staffing Hours per Resident per Day
0.52500
Reported Licensed Staffing Hours per Resident per Day
1.40568
Reported Total Nurse Staffing Hours per Resident per Day
3.45454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02386
Expected CNA Staffing Hours per Resident per Day
2.68705
Expected LPN Staffing Hours per Resident per Day
0.63576
Expected RN Staffing Hours per Resident per Day
0.94671
Expected Total Nurse Staffing Hours per Resident per Day
4.26952
Adjusted CNA Staffing Hours per Resident per Day
1.87094
Adjusted LPN Staffing Hours per Resident per Day
1.14974
Adjusted RN Staffing Hours per Resident per Day
0.41436
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26147
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-12
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
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
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