Pawnee Manor - Pawnee City Nursing Home

General Information

UPDATE
Federal Provider Number
285157
Provider Name
PAWNEE MANOR
Provider Address
P O BOX 513, 438 12TH STREET
PAWNEE CITY, NE 68420
Provider Phone Number
4028522975
Provider SSA County
660
Provider County Name
Pawnee
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC PAWNEE CITY OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1994-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.76875
Reported LPN Staffing Hours per Resident per Day
0.72188
Reported RN Staffing Hours per Resident per Day
0.75156
Reported Licensed Staffing Hours per Resident per Day
1.47344
Reported Total Nurse Staffing Hours per Resident per Day
3.24219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02656
Expected CNA Staffing Hours per Resident per Day
2.38071
Expected LPN Staffing Hours per Resident per Day
0.55220
Expected RN Staffing Hours per Resident per Day
0.84013
Expected Total Nurse Staffing Hours per Resident per Day
3.77304
Adjusted CNA Staffing Hours per Resident per Day
1.82298
Adjusted LPN Staffing Hours per Resident per Day
1.08504
Adjusted RN Staffing Hours per Resident per Day
0.66843
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46377
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-02-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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