Plainview Manor - Plainview Nursing Home
General Information
UPDATEFederal Provider Number
285273
Provider Name
PLAINVIEW MANOR
Provider Address
P O BOX 219, 101 HARPER STREET
PLAINVIEW, NE 68769
PLAINVIEW, NE 68769
Provider Phone Number
4025823849
Provider SSA County
690
Provider County Name
Pierce
Ownership Type
Government - City
Number of Certified Beds
39
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLAINVIEW MANOR
Date First Approved to Provide Medicare and Medicaid services
2007-06-21
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
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
2.14429
Reported LPN Staffing Hours per Resident per Day
0.82857
Reported RN Staffing Hours per Resident per Day
0.60714
Reported Licensed Staffing Hours per Resident per Day
1.43571
Reported Total Nurse Staffing Hours per Resident per Day
3.58000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01000
Expected CNA Staffing Hours per Resident per Day
2.67552
Expected LPN Staffing Hours per Resident per Day
0.57610
Expected RN Staffing Hours per Resident per Day
0.84424
Expected Total Nurse Staffing Hours per Resident per Day
4.09586
Adjusted CNA Staffing Hours per Resident per Day
1.96651
Adjusted LPN Staffing Hours per Resident per Day
1.19375
Adjusted RN Staffing Hours per Resident per Day
0.53735
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52322
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-21
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Pierce Manor
P O Box 189, 515 East Main Street |
PIERCE NE 68767 | 17.3 miles away
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