Pioneer Memorial Community Hospital - Mullen Nursing Home
General Information
UPDATEFederal Provider Number
280000000000000000000000000000
Provider Name
PIONEER MEMORIAL COMMUNITY HOSPITAL
Provider Address
P O BOX 578, 206 NW 4TH STREET
MULLEN, NE 69152
MULLEN, NE 69152
Provider Phone Number
3085462217
Provider SSA County
450
Provider County Name
Hooker
Ownership Type
Government - Hospital district
Number of Certified Beds
30
Number of Residents in Certified Beds
30
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19333
Reported LPN Staffing Hours per Resident per Day
0.70167
Reported RN Staffing Hours per Resident per Day
0.47333
Reported Licensed Staffing Hours per Resident per Day
1.17500
Reported Total Nurse Staffing Hours per Resident per Day
3.36833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00500
Expected CNA Staffing Hours per Resident per Day
2.27145
Expected LPN Staffing Hours per Resident per Day
0.55995
Expected RN Staffing Hours per Resident per Day
0.74866
Expected Total Nurse Staffing Hours per Resident per Day
3.58005
Adjusted CNA Staffing Hours per Resident per Day
2.36931
Adjusted LPN Staffing Hours per Resident per Day
1.04008
Adjusted RN Staffing Hours per Resident per Day
0.47241
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79251
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-08-21
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
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
76.66700
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
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