Golden Livingcenter - Nebraska City - Nebraska City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285109
Provider Name
GOLDEN LIVINGCENTER - NEBRASKA CITY
Provider Address
1420 NORTH 10TH STREET
NEBRASKA CITY, NE 68410
NEBRASKA CITY, NE 68410
Provider Phone Number
(402) 873-3304
Provider SSA County
650
Provider County Name
Otoe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC NEBRASKA CITY LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-25
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.83600
Reported LPN Staffing Hours per Resident per Day
1.09700
Reported RN Staffing Hours per Resident per Day
0.69700
Reported Licensed Staffing Hours per Resident per Day
1.79400
Reported Total Nurse Staffing Hours per Resident per Day
3.63000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04300
Expected CNA Staffing Hours per Resident per Day
2.13529
Expected LPN Staffing Hours per Resident per Day
0.64848
Expected RN Staffing Hours per Resident per Day
1.05031
Expected Total Nurse Staffing Hours per Resident per Day
3.83409
Adjusted CNA Staffing Hours per Resident per Day
2.10978
Adjusted LPN Staffing Hours per Resident per Day
1.40406
Adjusted RN Staffing Hours per Resident per Day
0.49585
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81633
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
262
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
262
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-05
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
138.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
8
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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