David Place - David City Nursing Home
General Information
UPDATEFederal Provider Number
285074
Provider Name
DAVID PLACE
Provider Address
260 SOUTH 10TH STREET
DAVID CITY, NE 68632
DAVID CITY, NE 68632
Provider Phone Number
4023673144
Provider SSA County
110
Provider County Name
Butler
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE OF DAVID CITY INC
Date First Approved to Provide Medicare and Medicaid services
1986-08-14
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
4
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
2.47292
Reported LPN Staffing Hours per Resident per Day
0.82222
Reported RN Staffing Hours per Resident per Day
0.49583
Reported Licensed Staffing Hours per Resident per Day
1.31806
Reported Total Nurse Staffing Hours per Resident per Day
3.79097
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02153
Expected CNA Staffing Hours per Resident per Day
2.44172
Expected LPN Staffing Hours per Resident per Day
0.61042
Expected RN Staffing Hours per Resident per Day
0.85321
Expected Total Nurse Staffing Hours per Resident per Day
3.90535
Adjusted CNA Staffing Hours per Resident per Day
2.48505
Adjusted LPN Staffing Hours per Resident per Day
1.11799
Adjusted RN Staffing Hours per Resident per Day
0.43422
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91284
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-15
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-12-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
8.00000
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
Nursiong Homes Nearby
St. Joseph's Villa, Inc.
927 Seventh Street |
DAVID CITY NE 68632 | 0.8 mile away
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