Litzenberg Memorial County Hospital - Central City Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285292
Provider Name
LITZENBERG MEMORIAL COUNTY HOSPITAL
Provider Address
1715 26TH STREET
CENTRAL CITY, NE 68826
CENTRAL CITY, NE 68826
Provider Phone Number
(308) 946-3015
Provider SSA County
600
Provider County Name
Merrick
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
46
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LITZENBERG MEMORIAL MERRICK COUNTY
Date First Approved to Provide Medicare and Medicaid services
2014-10-30
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
0
Overall Rating Footnote
Too New to Rate
Health Inspection Rating
0
Health Inspection Rating Footnote
Too New to Rate
QM Rating
0
QM Rating Footnote
Too New to Rate
Staffing Rating
0
Staffing Rating Footnote
Too New to Rate
RN Staffing Rating
0
RN Staffing Rating Footnote
Too New to Rate
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.70200
Reported LPN Staffing Hours per Resident per Day
1.17000
Reported RN Staffing Hours per Resident per Day
0.44200
Reported Licensed Staffing Hours per Resident per Day
1.61200
Reported Total Nurse Staffing Hours per Resident per Day
4.31400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.43200
Expected CNA Staffing Hours per Resident per Day
2.41177
Expected LPN Staffing Hours per Resident per Day
0.58377
Expected RN Staffing Hours per Resident per Day
0.84333
Expected Total Nurse Staffing Hours per Resident per Day
3.83888
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
0000-00-00
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
0000-00-00
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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Nursiong Homes Nearby
Central City Care Center
2720 South 17th Avenue |
CENTRAL CITY NE 68826 | 0.1 mile away