Brookestone Meadows Rehabilitation And Care Center - Elkhorn Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285276
Provider Name
BROOKESTONE MEADOWS REHABILITATION AND CARE CENTER
Provider Address
600 BROOKESTONE MEADOWS PLAZA
ELKHORN, NE 68022
ELKHORN, NE 68022
Provider Phone Number
(402) 289-2696
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKESTONE MEADOWS INC
Date First Approved to Provide Medicare and Medicaid services
2007-11-20
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.56341
Reported LPN Staffing Hours per Resident per Day
0.65854
Reported RN Staffing Hours per Resident per Day
1.67195
Reported Licensed Staffing Hours per Resident per Day
2.33049
Reported Total Nurse Staffing Hours per Resident per Day
5.89390
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17886
Expected CNA Staffing Hours per Resident per Day
2.43901
Expected LPN Staffing Hours per Resident per Day
0.65011
Expected RN Staffing Hours per Resident per Day
1.17823
Expected Total Nurse Staffing Hours per Resident per Day
4.26735
Adjusted CNA Staffing Hours per Resident per Day
3.58487
Adjusted LPN Staffing Hours per Resident per Day
0.84076
Adjusted RN Staffing Hours per Resident per Day
1.06030
Adjusted Total Nurse Staffing Hours per Resident per Day
5.56732
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-09-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
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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