Nye Legacy Health & Rehabilitation Center - Fremont Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285278
Provider Name
NYE LEGACY HEALTH & REHABILITATION CENTER
Provider Address
3210 N CLARKSON
FREMONT, NE 68025
FREMONT, NE 68025
Provider Phone Number
(402) 721-9300
Provider SSA County
260
Provider County Name
Dodge
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FREMONT CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2008-12-10
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.66374
Reported LPN Staffing Hours per Resident per Day
0.56264
Reported RN Staffing Hours per Resident per Day
1.51813
Reported Licensed Staffing Hours per Resident per Day
2.08077
Reported Total Nurse Staffing Hours per Resident per Day
4.74451
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32143
Expected CNA Staffing Hours per Resident per Day
2.41074
Expected LPN Staffing Hours per Resident per Day
0.61044
Expected RN Staffing Hours per Resident per Day
1.06766
Expected Total Nurse Staffing Hours per Resident per Day
4.08884
Adjusted CNA Staffing Hours per Resident per Day
2.71121
Adjusted LPN Staffing Hours per Resident per Day
0.76501
Adjusted RN Staffing Hours per Resident per Day
1.06246
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67728
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
20
Cycle 1 Standard Survey Health Date
2014-04-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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