Careage Campus Of Care - Wayne Nursing Home

General Information

UPDATE
Federal Provider Number
285135
Provider Name
CAREAGE CAMPUS OF CARE
Provider Address
811 EAST 14TH STREET
WAYNE, NE 68787
Provider Phone Number
4023751922
Provider SSA County
890
Provider County Name
Wayne
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LINDAHL HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-01-15
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.18875
Reported LPN Staffing Hours per Resident per Day
0.74500
Reported RN Staffing Hours per Resident per Day
0.97875
Reported Licensed Staffing Hours per Resident per Day
1.72375
Reported Total Nurse Staffing Hours per Resident per Day
3.91250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15375
Expected CNA Staffing Hours per Resident per Day
2.41617
Expected LPN Staffing Hours per Resident per Day
0.61511
Expected RN Staffing Hours per Resident per Day
0.93788
Expected Total Nurse Staffing Hours per Resident per Day
3.96916
Adjusted CNA Staffing Hours per Resident per Day
2.22275
Adjusted LPN Staffing Hours per Resident per Day
1.00527
Adjusted RN Staffing Hours per Resident per Day
0.77976
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97336
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-02-10
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-11-19
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
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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