Centennial Park Retirement Village - North Platte Nursing Home

General Information

UPDATE
Federal Provider Number
285094
Provider Name
CENTENNIAL PARK RETIREMENT VILLAGE
Provider Address
510 CENTENNIAL CIRCLE
NORTH PLATTE, NE 69101
Provider Phone Number
3085347000
Provider SSA County
550
Provider County Name
Lincoln
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1990-01-17
Continuing Care Retirement Community
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52019
Reported LPN Staffing Hours per Resident per Day
1.03750
Reported RN Staffing Hours per Resident per Day
0.48365
Reported Licensed Staffing Hours per Resident per Day
1.52115
Reported Total Nurse Staffing Hours per Resident per Day
4.04134
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11923
Expected CNA Staffing Hours per Resident per Day
2.16627
Expected LPN Staffing Hours per Resident per Day
0.58075
Expected RN Staffing Hours per Resident per Day
0.99702
Expected Total Nurse Staffing Hours per Resident per Day
3.74404
Adjusted CNA Staffing Hours per Resident per Day
2.85458
Adjusted LPN Staffing Hours per Resident per Day
1.48278
Adjusted RN Staffing Hours per Resident per Day
0.36246
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35098
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-07-31
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
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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

North Platte Care Center, Llc

2900 West E Street | NORTH PLATTE NE 69101 | 1.6 miles away

Linden Court

4000 West Philip Avenue | NORTH PLATTE NE 69101 | 2.1 miles away

Sutherland Care Center

P O Box 307, 333 Maple Street | SUTHERLAND NE 69165 | 18.7 miles away

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