Omaha Nursing And Rehabilitation Center - Omaha Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285240
Provider Name
OMAHA NURSING AND REHABILITATION CENTER
Provider Address
4835 SOUTH 49TH STREET
OMAHA, NE 68117
OMAHA, NE 68117
Provider Phone Number
(402) 733-7200
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHSIDE HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.39375
Reported LPN Staffing Hours per Resident per Day
0.85714
Reported RN Staffing Hours per Resident per Day
0.80268
Reported Licensed Staffing Hours per Resident per Day
1.65982
Reported Total Nurse Staffing Hours per Resident per Day
4.05357
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10357
Expected CNA Staffing Hours per Resident per Day
2.41733
Expected LPN Staffing Hours per Resident per Day
0.69295
Expected RN Staffing Hours per Resident per Day
1.12887
Expected Total Nurse Staffing Hours per Resident per Day
4.23915
Adjusted CNA Staffing Hours per Resident per Day
2.42977
Adjusted LPN Staffing Hours per Resident per Day
1.02666
Adjusted RN Staffing Hours per Resident per Day
0.53129
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85443
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-09
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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