Brookestone Village Rehabilitation And Care Center - Omaha Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285242
Provider Name
BROOKESTONE VILLAGE REHABILITATION AND CARE CENTER
Provider Address
4330 SOUTH 144TH STREET
OMAHA, NE 68137
OMAHA, NE 68137
Provider Phone Number
(402) 614-4000
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
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKSTONE VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
2001-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
3.35407
Reported LPN Staffing Hours per Resident per Day
0.27926
Reported RN Staffing Hours per Resident per Day
1.40370
Reported Licensed Staffing Hours per Resident per Day
1.68296
Reported Total Nurse Staffing Hours per Resident per Day
5.03703
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14741
Expected CNA Staffing Hours per Resident per Day
2.48741
Expected LPN Staffing Hours per Resident per Day
0.62819
Expected RN Staffing Hours per Resident per Day
1.14852
Expected Total Nurse Staffing Hours per Resident per Day
4.26411
Adjusted CNA Staffing Hours per Resident per Day
3.30862
Adjusted LPN Staffing Hours per Resident per Day
0.36898
Adjusted RN Staffing Hours per Resident per Day
0.91322
Adjusted Total Nurse Staffing Hours per Resident per Day
4.76155
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
24
Cycle 3 Standard Health Survey Date
2012-06-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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