Life Care Center Of Elkhorn - Elkhorn Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285134
Provider Name
LIFE CARE CENTER OF ELKHORN
Provider Address
20275 HOPPER STREET
ELKHORN, NE 68022
ELKHORN, NE 68022
Provider Phone Number
(402) 289-2572
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1993-09-17
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96531
Reported LPN Staffing Hours per Resident per Day
0.91429
Reported RN Staffing Hours per Resident per Day
0.73112
Reported Licensed Staffing Hours per Resident per Day
1.64541
Reported Total Nurse Staffing Hours per Resident per Day
3.61072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17704
Expected CNA Staffing Hours per Resident per Day
2.44625
Expected LPN Staffing Hours per Resident per Day
0.68338
Expected RN Staffing Hours per Resident per Day
1.23858
Expected Total Nurse Staffing Hours per Resident per Day
4.36820
Adjusted CNA Staffing Hours per Resident per Day
1.97130
Adjusted LPN Staffing Hours per Resident per Day
1.11045
Adjusted RN Staffing Hours per Resident per Day
0.44107
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33191
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
4
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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