Pierce Manor - Pierce Nursing Home
General Information
UPDATEFederal Provider Number
285139
Provider Name
PIERCE MANOR
Provider Address
P O BOX 189, 515 EAST MAIN STREET
PIERCE, NE 68767
PIERCE, NE 68767
Provider Phone Number
4023296228
Provider SSA County
690
Provider County Name
Pierce
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC PIERCE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.16163
Reported LPN Staffing Hours per Resident per Day
0.56512
Reported RN Staffing Hours per Resident per Day
0.83023
Reported Licensed Staffing Hours per Resident per Day
1.39535
Reported Total Nurse Staffing Hours per Resident per Day
3.55698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01512
Expected CNA Staffing Hours per Resident per Day
2.47937
Expected LPN Staffing Hours per Resident per Day
0.59234
Expected RN Staffing Hours per Resident per Day
0.92756
Expected Total Nurse Staffing Hours per Resident per Day
3.99927
Adjusted CNA Staffing Hours per Resident per Day
2.13925
Adjusted LPN Staffing Hours per Resident per Day
0.79186
Adjusted RN Staffing Hours per Resident per Day
0.66880
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58512
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
163
Cycle 2 Standard Health Survey Date
2013-08-06
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
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
116.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
22
Number of Fines
1
Total Amount of Fines in Dollars
4000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Plainview Manor
P O Box 219, 101 Harper Street |
PLAINVIEW NE 68769 | 17.3 miles away
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