Chimney Rock Villa - Bayard Nursing Home
General Information
UPDATEFederal Provider Number
285260
Provider Name
CHIMNEY ROCK VILLA
Provider Address
P O BOX A, 106 EAST 13TH STREET
BAYARD, NE 69334
BAYARD, NE 69334
Provider Phone Number
3085861142
Provider SSA County
610
Provider County Name
Morrill
Ownership Type
Government - City/county
Number of Certified Beds
49
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHIMNEY ROCK VILLA
Date First Approved to Provide Medicare and Medicaid services
2004-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.76667
Reported LPN Staffing Hours per Resident per Day
0.63929
Reported RN Staffing Hours per Resident per Day
0.72738
Reported Licensed Staffing Hours per Resident per Day
1.36667
Reported Total Nurse Staffing Hours per Resident per Day
4.13334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00357
Expected CNA Staffing Hours per Resident per Day
2.35223
Expected LPN Staffing Hours per Resident per Day
0.60417
Expected RN Staffing Hours per Resident per Day
0.83987
Expected Total Nurse Staffing Hours per Resident per Day
3.79627
Adjusted CNA Staffing Hours per Resident per Day
2.88602
Adjusted LPN Staffing Hours per Resident per Day
0.87825
Adjusted RN Staffing Hours per Resident per Day
0.64712
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38880
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-12-19
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
3
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
Nursiong Homes Nearby
Skyview At Bridgeport
505 O Street |
BRIDGEPORT NE 69336 | 13.4 miles away
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