Nebraska Nursing Homes >> Omaha Nursing Homes >> Immanuel Fontenelle

Immanuel Fontenelle - Omaha Nursing Home

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Federal Provider Number
285085
Provider Name
IMMANUEL FONTENELLE
Provider Address
6809 N 68TH PLAZA
OMAHA, NE 68152
Provider Phone Number
(402) 572-2595
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
165
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
IMMANUEL LONG TERM CARE
Date First Approved to Provide Medicare and Medicaid services
1988-12-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
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
2
QM Rating Footnote
Staffing Rating
4
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
1.96803
Reported LPN Staffing Hours per Resident per Day
0.66701
Reported RN Staffing Hours per Resident per Day
1.70102
Reported Licensed Staffing Hours per Resident per Day
2.36803
Reported Total Nurse Staffing Hours per Resident per Day
4.33606
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12823
Expected CNA Staffing Hours per Resident per Day
2.52576
Expected LPN Staffing Hours per Resident per Day
0.63423
Expected RN Staffing Hours per Resident per Day
1.01028
Expected Total Nurse Staffing Hours per Resident per Day
4.17026
Adjusted CNA Staffing Hours per Resident per Day
1.91189
Adjusted LPN Staffing Hours per Resident per Day
0.87290
Adjusted RN Staffing Hours per Resident per Day
1.25807
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19116
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2011-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
78.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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