Park View Haven Nursing Home - Coleridge Nursing Home

General Information

UPDATE
Federal Provider Number
285073
Provider Name
PARK VIEW HAVEN NURSING HOME
Provider Address
309 NORTH MADISON STREET
COLERIDGE, NE 68727
Provider Phone Number
4022834224
Provider SSA County
130
Provider County Name
Cedar
Ownership Type
Government - City
Number of Certified Beds
35
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK VIEW HAVEN NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1986-07-28
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
3
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
2.52000
Reported LPN Staffing Hours per Resident per Day
0.61200
Reported RN Staffing Hours per Resident per Day
0.85200
Reported Licensed Staffing Hours per Resident per Day
1.46400
Reported Total Nurse Staffing Hours per Resident per Day
3.98400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01400
Expected CNA Staffing Hours per Resident per Day
2.41114
Expected LPN Staffing Hours per Resident per Day
0.56785
Expected RN Staffing Hours per Resident per Day
0.83816
Expected Total Nurse Staffing Hours per Resident per Day
3.81715
Adjusted CNA Staffing Hours per Resident per Day
2.56448
Adjusted LPN Staffing Hours per Resident per Day
0.89453
Adjusted RN Staffing Hours per Resident per Day
0.75954
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20709
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
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
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-15
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
1
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

Nursiong Homes Nearby

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P O Box 107, 401 Darlene Street | HARTINGTON NE 68739 | 8.3 miles away

Hillcrest Care Center

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Colonial Manor Of Randolph

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