Hillcrest Nursing Home - Mccook Nursing Home
General Information
UPDATEFederal Provider Number
285080
Provider Name
HILLCREST NURSING HOME
Provider Address
P O BOX 1087, 309 WEST 7TH STREET
MCCOOK, NE 69001
MCCOOK, NE 69001
Provider Phone Number
3083454600
Provider SSA County
720
Provider County Name
Red Willow
Ownership Type
Government - County
Number of Certified Beds
100
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLCREST NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1987-11-23
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
3.19462
Reported LPN Staffing Hours per Resident per Day
0.62366
Reported RN Staffing Hours per Resident per Day
0.68118
Reported Licensed Staffing Hours per Resident per Day
1.30484
Reported Total Nurse Staffing Hours per Resident per Day
4.49946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.45591
Expected LPN Staffing Hours per Resident per Day
0.58840
Expected RN Staffing Hours per Resident per Day
0.88661
Expected Total Nurse Staffing Hours per Resident per Day
3.93092
Adjusted CNA Staffing Hours per Resident per Day
3.19174
Adjusted LPN Staffing Hours per Resident per Day
0.87974
Adjusted RN Staffing Hours per Resident per Day
0.57407
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61390
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-08-01
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
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
106.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
7
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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