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Florence Home - Omaha Nursing Home

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Federal Provider Number
285173
Provider Name
FLORENCE HOME
Provider Address
7915 NORTH 30TH STREET
OMAHA, NE 68112
Provider Phone Number
(402) 827-6000
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FLORENCE HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
1995-11-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.19333
Reported LPN Staffing Hours per Resident per Day
0.63944
Reported RN Staffing Hours per Resident per Day
0.40111
Reported Licensed Staffing Hours per Resident per Day
1.04056
Reported Total Nurse Staffing Hours per Resident per Day
4.23388
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04500
Expected CNA Staffing Hours per Resident per Day
2.29660
Expected LPN Staffing Hours per Resident per Day
0.61376
Expected RN Staffing Hours per Resident per Day
1.00767
Expected Total Nurse Staffing Hours per Resident per Day
3.91803
Adjusted CNA Staffing Hours per Resident per Day
3.41178
Adjusted LPN Staffing Hours per Resident per Day
0.86472
Adjusted RN Staffing Hours per Resident per Day
0.29743
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35585
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-08-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
10
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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