Hillcrest Country Estates - Papillion Nursing Home
General Information
UPDATEFederal Provider Number
280000000000000000000000000000
Provider Name
HILLCREST COUNTRY ESTATES
Provider Address
6082 GRAND LODGE AVENUE
PAPILLION, NE 68133
PAPILLION, NE 68133
Provider Phone Number
4028857000
Provider SSA County
760
Provider County Name
Sarpy
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
35
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
2010-04-07
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
4
Health Inspection Rating Footnote
QM Rating
5
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
3.41857
Reported LPN Staffing Hours per Resident per Day
0.72143
Reported RN Staffing Hours per Resident per Day
0.76429
Reported Licensed Staffing Hours per Resident per Day
1.48571
Reported Total Nurse Staffing Hours per Resident per Day
4.90429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03286
Expected CNA Staffing Hours per Resident per Day
2.59504
Expected LPN Staffing Hours per Resident per Day
0.52667
Expected RN Staffing Hours per Resident per Day
0.71655
Expected Total Nurse Staffing Hours per Resident per Day
3.83825
Adjusted CNA Staffing Hours per Resident per Day
3.23238
Adjusted LPN Staffing Hours per Resident per Day
1.13694
Adjusted RN Staffing Hours per Resident per Day
0.79698
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15044
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-11-06
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Papillion Manor
610 South Polk Street |
PAPILLION NE 68046 | 2.4 miles away
Huntington Park Care Center
1507 Gold Coast Road |
PAPILLION NE 68046 | 2.9 miles away
Hillcrest Health & Rehab
1702 Hillcrest Drive |
BELLEVUE NE 68005 | 4.7 miles away
Gretna Care Center
700 Highway 6 |
GRETNA NE 68028 | 12.6 miles away
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