Nebraska Nursing Homes >> South Sioux City Nursing Homes >> Matney's Colonial Manor

Matney's Colonial Manor - South Sioux City Nursing Home

General Information

UPDATE
Federal Provider Number
285082
Provider Name
MATNEY'S COLONIAL MANOR
Provider Address
3200 G STREET
SOUTH SIOUX CITY, NE 68776
Provider Phone Number
4024943043
Provider SSA County
210
Provider County Name
Dakota
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MATNEYS COLONIAL MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.59818
Reported LPN Staffing Hours per Resident per Day
0.38182
Reported RN Staffing Hours per Resident per Day
0.78182
Reported Licensed Staffing Hours per Resident per Day
1.16364
Reported Total Nurse Staffing Hours per Resident per Day
2.76182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02636
Expected CNA Staffing Hours per Resident per Day
2.13090
Expected LPN Staffing Hours per Resident per Day
0.56701
Expected RN Staffing Hours per Resident per Day
0.82061
Expected Total Nurse Staffing Hours per Resident per Day
3.51852
Adjusted CNA Staffing Hours per Resident per Day
1.84028
Adjusted LPN Staffing Hours per Resident per Day
0.55891
Adjusted RN Staffing Hours per Resident per Day
0.71188
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16400
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-07
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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

Nursiong Homes Nearby

Regency Square Care Center

3501 Dakota Avenue | SOUTH SIOUX CITY NE 68776 | 0.6 mile away

Heritage Of Emerson, Inc.

607 Nebraska Street | EMERSON NE 68733 | 20.4 miles away

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