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Central City Care Center - Central City Nursing Home

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Federal Provider Number
285147
Provider Name
CENTRAL CITY CARE CENTER
Provider Address
2720 SOUTH 17TH AVENUE
CENTRAL CITY, NE 68826
Provider Phone Number
(308) 946-3088
Provider SSA County
600
Provider County Name
Merrick
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE - NE INC
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.11750
Reported LPN Staffing Hours per Resident per Day
0.51750
Reported RN Staffing Hours per Resident per Day
0.36917
Reported Licensed Staffing Hours per Resident per Day
0.88667
Reported Total Nurse Staffing Hours per Resident per Day
3.00417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00583
Expected CNA Staffing Hours per Resident per Day
1.99270
Expected LPN Staffing Hours per Resident per Day
0.53418
Expected RN Staffing Hours per Resident per Day
0.79059
Expected Total Nurse Staffing Hours per Resident per Day
3.31747
Adjusted CNA Staffing Hours per Resident per Day
2.60737
Adjusted LPN Staffing Hours per Resident per Day
0.80408
Adjusted RN Staffing Hours per Resident per Day
0.34891
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65022
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
2015-01-12
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
4.66700
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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