Exeter Care Center - Exeter Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285154
Provider Name
EXETER CARE CENTER
Provider Address
P O BOX 59, 425 SOUTH EMPIRE AVENUE
EXETER, NE 68351
EXETER, NE 68351
Provider Phone Number
(402) 266-4501
Provider SSA County
290
Provider County Name
Fillmore
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXETER CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-08-20
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.50769
Reported LPN Staffing Hours per Resident per Day
0.79038
Reported RN Staffing Hours per Resident per Day
0.66538
Reported Licensed Staffing Hours per Resident per Day
1.45577
Reported Total Nurse Staffing Hours per Resident per Day
3.96345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02115
Expected CNA Staffing Hours per Resident per Day
2.39491
Expected LPN Staffing Hours per Resident per Day
0.65653
Expected RN Staffing Hours per Resident per Day
0.95051
Expected Total Nurse Staffing Hours per Resident per Day
4.00195
Adjusted CNA Staffing Hours per Resident per Day
2.56925
Adjusted LPN Staffing Hours per Resident per Day
0.99922
Adjusted RN Staffing Hours per Resident per Day
0.52306
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99213
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
24
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-12-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
20.66700
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
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