Mt Carmel Home- Keens Memorial - Kearney Nursing Home

General Information

UPDATE
Federal Provider Number
285216
Provider Name
MT CARMEL HOME- KEENS MEMORIAL
Provider Address
412 WEST 18TH STREET
KEARNEY, NE 68847
Provider Phone Number
3082372287
Provider SSA County
90
Provider County Name
Buffalo
Ownership Type
Non profit - Other
Number of Certified Beds
75
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT CARMEL HOME-KEENS MEMORIAL
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.88088
Reported LPN Staffing Hours per Resident per Day
1.02721
Reported RN Staffing Hours per Resident per Day
0.58971
Reported Licensed Staffing Hours per Resident per Day
1.61691
Reported Total Nurse Staffing Hours per Resident per Day
4.49780
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00956
Expected CNA Staffing Hours per Resident per Day
2.52486
Expected LPN Staffing Hours per Resident per Day
0.56413
Expected RN Staffing Hours per Resident per Day
0.81723
Expected Total Nurse Staffing Hours per Resident per Day
3.90621
Adjusted CNA Staffing Hours per Resident per Day
2.79969
Adjusted LPN Staffing Hours per Resident per Day
1.51133
Adjusted RN Staffing Hours per Resident per Day
0.53918
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64137
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-02-21
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
13
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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