Community Memorial Health Center Ltc - Burwell Nursing Home
General Information
UPDATEFederal Provider Number
285257
Provider Name
COMMUNITY MEMORIAL HEALTH CENTER LTC
Provider Address
P O BOX 340, 295 NORTH 8TH STREET
BURWELL, NE 68823
BURWELL, NE 68823
Provider Phone Number
3083464440
Provider SSA County
350
Provider County Name
Garfield
Ownership Type
Non profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY MEMORIAL HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
2004-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.70000
Reported LPN Staffing Hours per Resident per Day
0.69388
Reported RN Staffing Hours per Resident per Day
0.60408
Reported Licensed Staffing Hours per Resident per Day
1.29796
Reported Total Nurse Staffing Hours per Resident per Day
3.99796
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03469
Expected CNA Staffing Hours per Resident per Day
2.60020
Expected LPN Staffing Hours per Resident per Day
0.60739
Expected RN Staffing Hours per Resident per Day
0.86372
Expected Total Nurse Staffing Hours per Resident per Day
4.07132
Adjusted CNA Staffing Hours per Resident per Day
2.54787
Adjusted LPN Staffing Hours per Resident per Day
0.94818
Adjusted RN Staffing Hours per Resident per Day
0.52258
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95827
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2012-12-04
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
6
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
Reviews: Be the first to review this provider.
Share your experience with Community Memorial Health Center Ltc. You can help others by writing a review.
