Gardenside Ltc-jchc - Fairbury Nursing Home

General Information

UPDATE
Federal Provider Number
285282
Provider Name
GARDENSIDE LTC-JCHC
Provider Address
P O BOX 277, 2200 NORTH H STREET
FAIRBURY, NE 68352
Provider Phone Number
4027295220
Provider SSA County
470
Provider County Name
Jefferson
Ownership Type
Non profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
JEFFERSON COMMUNITY HEALTH CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2009-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.34324
Reported LPN Staffing Hours per Resident per Day
1.15000
Reported RN Staffing Hours per Resident per Day
0.77703
Reported Licensed Staffing Hours per Resident per Day
1.92703
Reported Total Nurse Staffing Hours per Resident per Day
4.27027
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04865
Expected CNA Staffing Hours per Resident per Day
2.23524
Expected LPN Staffing Hours per Resident per Day
0.61564
Expected RN Staffing Hours per Resident per Day
0.90736
Expected Total Nurse Staffing Hours per Resident per Day
3.75825
Adjusted CNA Staffing Hours per Resident per Day
2.57226
Adjusted LPN Staffing Hours per Resident per Day
1.55041
Adjusted RN Staffing Hours per Resident per Day
0.63987
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58007
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-03
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-02-26
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
16
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
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

Heritage Care Center

P O Box 667, 909 17th Street | FAIRBURY NE 68352 | 0.4 mile away

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