Genoa Community Hospital/ltc - Genoa Nursing Home
General Information
UPDATEFederal Provider Number
280000000000000000000000000000
Provider Name
GENOA COMMUNITY HOSPITAL/LTC
Provider Address
P O BOX 310, 606/706 EWING AVENUE
GENOA, NE 68640
GENOA, NE 68640
Provider Phone Number
4029932283
Provider SSA County
620
Provider County Name
Nance
Ownership Type
Government - City/county
Number of Certified Beds
39
Number of Residents in Certified Beds
31
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-01-24
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
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.20645
Reported LPN Staffing Hours per Resident per Day
0.42419
Reported RN Staffing Hours per Resident per Day
0.43387
Reported Licensed Staffing Hours per Resident per Day
0.85806
Reported Total Nurse Staffing Hours per Resident per Day
4.06451
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11452
Expected CNA Staffing Hours per Resident per Day
2.28289
Expected LPN Staffing Hours per Resident per Day
0.55750
Expected RN Staffing Hours per Resident per Day
0.73489
Expected Total Nurse Staffing Hours per Resident per Day
3.57528
Adjusted CNA Staffing Hours per Resident per Day
3.44636
Adjusted LPN Staffing Hours per Resident per Day
0.63153
Adjusted RN Staffing Hours per Resident per Day
0.44114
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58248
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
20
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-03-14
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
4
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
Golden Livingcenter - Fullerton
P O Box 648, 202 North Esther |
FULLERTON NE 68638 | 13.2 miles away
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