Rock County Hospital Ltc - Bassett Nursing Home

General Information

UPDATE
Federal Provider Number
280000000000000000000000000000
Provider Name
ROCK COUNTY HOSPITAL LTC
Provider Address
100 EAST SOUTH STREET
BASSETT, NE 68714
Provider Phone Number
4026843366
Provider SSA County
740
Provider County Name
Rock
Ownership Type
Government - County
Number of Certified Beds
30
Number of Residents in Certified Beds
28
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-04-03
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15179
Reported LPN Staffing Hours per Resident per Day
0.57143
Reported RN Staffing Hours per Resident per Day
0.77500
Reported Licensed Staffing Hours per Resident per Day
1.34643
Reported Total Nurse Staffing Hours per Resident per Day
3.49822
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00179
Expected CNA Staffing Hours per Resident per Day
1.99321
Expected LPN Staffing Hours per Resident per Day
0.59375
Expected RN Staffing Hours per Resident per Day
0.75577
Expected Total Nurse Staffing Hours per Resident per Day
3.34274
Adjusted CNA Staffing Hours per Resident per Day
2.64891
Adjusted LPN Staffing Hours per Resident per Day
0.79880
Adjusted RN Staffing Hours per Resident per Day
0.76621
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21839
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-18
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
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
3
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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