Good Shepherd Lutheran Home - Blair Nursing Home

General Information

UPDATE
Federal Provider Number
285148
Provider Name
GOOD SHEPHERD LUTHERAN HOME
Provider Address
2242 WRIGHT STREET
BLAIR, NE 68008
Provider Phone Number
4024264663
Provider SSA County
880
Provider County Name
Washington
Ownership Type
Non profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD LUTHERAN COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.78861
Reported LPN Staffing Hours per Resident per Day
0.63544
Reported RN Staffing Hours per Resident per Day
0.64177
Reported Licensed Staffing Hours per Resident per Day
1.27722
Reported Total Nurse Staffing Hours per Resident per Day
4.06582
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07215
Expected CNA Staffing Hours per Resident per Day
2.39071
Expected LPN Staffing Hours per Resident per Day
0.56833
Expected RN Staffing Hours per Resident per Day
0.82611
Expected Total Nurse Staffing Hours per Resident per Day
3.78515
Adjusted CNA Staffing Hours per Resident per Day
2.86209
Adjusted LPN Staffing Hours per Resident per Day
0.92800
Adjusted RN Staffing Hours per Resident per Day
0.58047
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32979
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-01-31
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
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
94.66700
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
4
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

Crowell Memorial Home

245 South 22nd Street | BLAIR NE 68008 | 0.5 mile away

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