Parkview Home, Inc. - Dodge Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285243
Provider Name
PARKVIEW HOME, INC.
Provider Address
930 2ND STREET
DODGE, NE 68633
DODGE, NE 68633
Provider Phone Number
(402) 693-2212
Provider SSA County
260
Provider County Name
Dodge
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARKVIEW HOME INC
Date First Approved to Provide Medicare and Medicaid services
2001-12-06
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.49878
Reported LPN Staffing Hours per Resident per Day
0.79146
Reported RN Staffing Hours per Resident per Day
0.56707
Reported Licensed Staffing Hours per Resident per Day
1.35854
Reported Total Nurse Staffing Hours per Resident per Day
3.85731
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00732
Expected CNA Staffing Hours per Resident per Day
2.34089
Expected LPN Staffing Hours per Resident per Day
0.53089
Expected RN Staffing Hours per Resident per Day
0.69488
Expected Total Nurse Staffing Hours per Resident per Day
3.56667
Adjusted CNA Staffing Hours per Resident per Day
2.61919
Adjusted LPN Staffing Hours per Resident per Day
1.23737
Adjusted RN Staffing Hours per Resident per Day
0.60977
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35937
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
16.00000
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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