Montclair Nursing And Rehabilitation Center - Omaha Nursing Home

General Information

UPDATE
Federal Provider Number
285054
Provider Name
MONTCLAIR NURSING AND REHABILITATION CENTER
Provider Address
2525 SOUTH 135TH AVENUE
OMAHA, NE 68144
Provider Phone Number
4023332304
Provider SSA County
270
Provider County Name
Douglas
Ownership Type
For profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTCLAIR HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-12-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98762
Reported LPN Staffing Hours per Resident per Day
0.88952
Reported RN Staffing Hours per Resident per Day
0.67714
Reported Licensed Staffing Hours per Resident per Day
1.56667
Reported Total Nurse Staffing Hours per Resident per Day
4.55428
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11714
Expected CNA Staffing Hours per Resident per Day
2.27979
Expected LPN Staffing Hours per Resident per Day
0.56961
Expected RN Staffing Hours per Resident per Day
0.85541
Expected Total Nurse Staffing Hours per Resident per Day
3.70481
Adjusted CNA Staffing Hours per Resident per Day
3.21552
Adjusted LPN Staffing Hours per Resident per Day
1.29614
Adjusted RN Staffing Hours per Resident per Day
0.59148
Adjusted Total Nurse Staffing Hours per Resident per Day
4.95514
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
140
Cycle 2 Total Number of Health Deficiencies
34
Cycle 2 Number of Standard Health Deficiencies
24
Cycle 2 Number of Complaint Health Deficiencies
17
Cycle 2 Health Deficiency Score
260
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
130
Cycle 2 Total Health Score
130
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
29
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2013-04-24
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
94
Cycle 3 Total Health Score
282
Total Weighted Health Survey Score
247.00000
Number of Facility Reported Incidents
13
Number of Substantiated Complaints
78
Number of Fines
2
Total Amount of Fines in Dollars
33298
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01

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