Colonial Acres Nursing Home - Humboldt Nursing Home
General Information
UPDATEFederal Provider Number
285248
Provider Name
COLONIAL ACRES NURSING HOME
Provider Address
1043 10TH STREET
HUMBOLDT, NE 68376
HUMBOLDT, NE 68376
Provider Phone Number
4028623123
Provider SSA County
730
Provider County Name
Richardson
Ownership Type
Government - City
Number of Certified Beds
49
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL ACRES OF HUMBOLDT
Date First Approved to Provide Medicare and Medicaid services
2002-10-01
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27838
Reported LPN Staffing Hours per Resident per Day
0.95135
Reported RN Staffing Hours per Resident per Day
0.45811
Reported Licensed Staffing Hours per Resident per Day
1.40946
Reported Total Nurse Staffing Hours per Resident per Day
3.68784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03108
Expected CNA Staffing Hours per Resident per Day
2.37606
Expected LPN Staffing Hours per Resident per Day
0.52742
Expected RN Staffing Hours per Resident per Day
0.76170
Expected Total Nurse Staffing Hours per Resident per Day
3.66518
Adjusted CNA Staffing Hours per Resident per Day
2.35283
Adjusted LPN Staffing Hours per Resident per Day
1.49714
Adjusted RN Staffing Hours per Resident per Day
0.44939
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05582
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
2014-07-07
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
2013-06-13
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4225
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Falls City Healthcare Community
2800 Towle Street |
FALLS CITY NE 68355 | 19 miles away
Falls City Nursing And Rehabilitation Center
1720 Burton Drive |
FALLS CITY NE 68355 | 20.2 miles away
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