Gordon Countryside Care - Gordon Nursing Home

General Information

UPDATE
Federal Provider Number
280000000000000000000000000000
Provider Name
GORDON COUNTRYSIDE CARE
Provider Address
500 EAST 10TH STREET
GORDON, NE 69343
Provider Phone Number
3082820806
Provider SSA County
800
Provider County Name
Sheridan
Ownership Type
Government - Hospital district
Number of Certified Beds
32
Number of Residents in Certified Beds
18
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1979-03-13
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.73333
Reported LPN Staffing Hours per Resident per Day
0.83611
Reported RN Staffing Hours per Resident per Day
0.96389
Reported Licensed Staffing Hours per Resident per Day
1.80000
Reported Total Nurse Staffing Hours per Resident per Day
5.53333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01111
Expected CNA Staffing Hours per Resident per Day
2.43507
Expected LPN Staffing Hours per Resident per Day
0.66455
Expected RN Staffing Hours per Resident per Day
0.81606
Expected Total Nurse Staffing Hours per Resident per Day
3.91567
Adjusted CNA Staffing Hours per Resident per Day
3.76190
Adjusted LPN Staffing Hours per Resident per Day
1.04428
Adjusted RN Staffing Hours per Resident per Day
0.88255
Adjusted Total Nurse Staffing Hours per Resident per Day
5.69616
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
36
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-12-18
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
55.33300
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

Pioneer Manor Nursing Home

P O Box 310, 318 N 3rd Street | HAY SPRINGS NE 69347 | 26.4 miles away

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