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Nebraska Skilled Nursing & Rehab - Omaha Nursing Home

General Information

UPDATE
Federal Provider Number
285058
Provider Name
NEBRASKA SKILLED NURSING & REHAB
Provider Address
7410 MERCY ROAD
OMAHA, NE 68124
Provider Phone Number
4023971220
Provider SSA County
270
Provider County Name
Douglas
Ownership Type
For profit - Corporation
Number of Certified Beds
174
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE MIDWEST, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-06-22
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.11171
Reported LPN Staffing Hours per Resident per Day
0.79234
Reported RN Staffing Hours per Resident per Day
1.16126
Reported Licensed Staffing Hours per Resident per Day
1.95360
Reported Total Nurse Staffing Hours per Resident per Day
4.06531
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17658
Expected CNA Staffing Hours per Resident per Day
2.39041
Expected LPN Staffing Hours per Resident per Day
0.64922
Expected RN Staffing Hours per Resident per Day
1.21182
Expected Total Nurse Staffing Hours per Resident per Day
4.25146
Adjusted CNA Staffing Hours per Resident per Day
2.16762
Adjusted LPN Staffing Hours per Resident per Day
1.01297
Adjusted RN Staffing Hours per Resident per Day
0.71602
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85441
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
18
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-06-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-02-25
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
17
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2011-10-03
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
78
Cycle 3 Total Health Score
234
Total Weighted Health Survey Score
111.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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