Elwood Care Center - Elwood Nursing Home

General Information

UPDATE
Federal Provider Number
285215
Provider Name
ELWOOD CARE CENTER
Provider Address
P O BOX 315, 607 SMITH AVENUE
ELWOOD, NE 68937
Provider Phone Number
3087853302
Provider SSA County
360
Provider County Name
Gosper
Ownership Type
Government - City
Number of Certified Beds
43
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELWOOD CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1997-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.92571
Reported LPN Staffing Hours per Resident per Day
0.40000
Reported RN Staffing Hours per Resident per Day
0.90714
Reported Licensed Staffing Hours per Resident per Day
1.30714
Reported Total Nurse Staffing Hours per Resident per Day
4.23285
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09000
Expected CNA Staffing Hours per Resident per Day
2.49616
Expected LPN Staffing Hours per Resident per Day
0.56811
Expected RN Staffing Hours per Resident per Day
0.80658
Expected Total Nurse Staffing Hours per Resident per Day
3.87085
Adjusted CNA Staffing Hours per Resident per Day
2.87594
Adjusted LPN Staffing Hours per Resident per Day
0.58440
Adjusted RN Staffing Hours per Resident per Day
0.84035
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40787
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-01-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-22
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
5
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
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
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