El Dorado Manor Nursing Home - Trenton Nursing Home
General Information
UPDATEFederal Provider Number
285253
Provider Name
EL DORADO MANOR NURSING HOME
Provider Address
71434 HWY 25, BOX 97
TRENTON, NE 69044
TRENTON, NE 69044
Provider Phone Number
3083345241
Provider SSA County
430
Provider County Name
Hitchcock
Ownership Type
Government - City/county
Number of Certified Beds
40
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRENTON NURSING HOME - VILLAGE OF TRENTON
Date First Approved to Provide Medicare and Medicaid services
2004-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60606
Reported LPN Staffing Hours per Resident per Day
0.60606
Reported RN Staffing Hours per Resident per Day
1.26364
Reported Licensed Staffing Hours per Resident per Day
1.86970
Reported Total Nurse Staffing Hours per Resident per Day
4.47576
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00455
Expected CNA Staffing Hours per Resident per Day
2.44926
Expected LPN Staffing Hours per Resident per Day
0.57725
Expected RN Staffing Hours per Resident per Day
0.82436
Expected Total Nurse Staffing Hours per Resident per Day
3.85088
Adjusted CNA Staffing Hours per Resident per Day
2.61078
Adjusted LPN Staffing Hours per Resident per Day
0.87142
Adjusted RN Staffing Hours per Resident per Day
1.14536
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68500
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
44
Cycle 2 Standard Health Survey Date
2013-10-31
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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