Papillion Manor - Papillion Nursing Home
General Information
UPDATEFederal Provider Number
285268
Provider Name
PAPILLION MANOR
Provider Address
610 SOUTH POLK STREET
PAPILLION, NE 68046
PAPILLION, NE 68046
Provider Phone Number
4023397700
Provider SSA County
760
Provider County Name
Sarpy
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PAPILLION MANOR INC
Date First Approved to Provide Medicare and Medicaid services
2005-05-19
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
2
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
3.00291
Reported LPN Staffing Hours per Resident per Day
0.60340
Reported RN Staffing Hours per Resident per Day
1.10971
Reported Licensed Staffing Hours per Resident per Day
1.71311
Reported Total Nurse Staffing Hours per Resident per Day
4.71602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14175
Expected CNA Staffing Hours per Resident per Day
2.40942
Expected LPN Staffing Hours per Resident per Day
0.59435
Expected RN Staffing Hours per Resident per Day
1.13300
Expected Total Nurse Staffing Hours per Resident per Day
4.13677
Adjusted CNA Staffing Hours per Resident per Day
3.05810
Adjusted LPN Staffing Hours per Resident per Day
0.84264
Adjusted RN Staffing Hours per Resident per Day
0.73184
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59532
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2013-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-10-24
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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
Nursiong Homes Nearby
Huntington Park Care Center
1507 Gold Coast Road |
PAPILLION NE 68046 | 1 mile away
Hillcrest Country Estates
6082 Grand Lodge Avenue |
PAPILLION NE 68133 | 2.4 miles away
Hillcrest Health & Rehab
1702 Hillcrest Drive |
BELLEVUE NE 68005 | 7 miles away
Gretna Care Center
700 Highway 6 |
GRETNA NE 68028 | 10.4 miles away
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