Heritage Care Center - Fairbury Nursing Home

General Information

UPDATE
Federal Provider Number
285262
Provider Name
HERITAGE CARE CENTER
Provider Address
P O BOX 667, 909 17TH STREET
FAIRBURY, NE 68352
Provider Phone Number
4027292289
Provider SSA County
470
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE OF FAIRBURY ST EDWARD INC
Date First Approved to Provide Medicare and Medicaid services
2004-07-01
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
5
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
2.80417
Reported LPN Staffing Hours per Resident per Day
0.67250
Reported RN Staffing Hours per Resident per Day
0.70333
Reported Licensed Staffing Hours per Resident per Day
1.37583
Reported Total Nurse Staffing Hours per Resident per Day
4.18000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08250
Expected CNA Staffing Hours per Resident per Day
2.18210
Expected LPN Staffing Hours per Resident per Day
0.54042
Expected RN Staffing Hours per Resident per Day
0.74154
Expected Total Nurse Staffing Hours per Resident per Day
3.46406
Adjusted CNA Staffing Hours per Resident per Day
3.15320
Adjusted LPN Staffing Hours per Resident per Day
1.03285
Adjusted RN Staffing Hours per Resident per Day
0.70870
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86399
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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

Gardenside Ltc-jchc

P O Box 277, 2200 North H Street | FAIRBURY NE 68352 | 0.4 mile away

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