Life Care Center Of Omaha - Omaha Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285137
Provider Name
LIFE CARE CENTER OF OMAHA
Provider Address
6032 VILLE DE SANTE DRIVE
OMAHA, NE 68104
OMAHA, NE 68104
Provider Phone Number
(402) 571-6770
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
97
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
1993-11-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
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
2.21856
Reported LPN Staffing Hours per Resident per Day
0.96237
Reported RN Staffing Hours per Resident per Day
0.65052
Reported Licensed Staffing Hours per Resident per Day
1.61289
Reported Total Nurse Staffing Hours per Resident per Day
3.83145
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16649
Expected CNA Staffing Hours per Resident per Day
2.63051
Expected LPN Staffing Hours per Resident per Day
0.72953
Expected RN Staffing Hours per Resident per Day
1.17947
Expected Total Nurse Staffing Hours per Resident per Day
4.53950
Adjusted CNA Staffing Hours per Resident per Day
2.06944
Adjusted LPN Staffing Hours per Resident per Day
1.09491
Adjusted RN Staffing Hours per Resident per Day
0.41211
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40218
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-01
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-04-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
99.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
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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