Rose Blumkin Jewish Home - Omaha Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285059
Provider Name
ROSE BLUMKIN JEWISH HOME
Provider Address
323 SOUTH 132ND STREET
OMAHA, NE 68154
OMAHA, NE 68154
Provider Phone Number
(402) 330-4272
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEWISH FEDERATION OF OMAHA, INC
Date First Approved to Provide Medicare and Medicaid services
1983-01-05
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
5
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
3.02600
Reported LPN Staffing Hours per Resident per Day
0.83350
Reported RN Staffing Hours per Resident per Day
0.85850
Reported Licensed Staffing Hours per Resident per Day
1.69200
Reported Total Nurse Staffing Hours per Resident per Day
4.71800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05650
Expected CNA Staffing Hours per Resident per Day
2.20595
Expected LPN Staffing Hours per Resident per Day
0.58071
Expected RN Staffing Hours per Resident per Day
0.88896
Expected Total Nurse Staffing Hours per Resident per Day
3.67562
Adjusted CNA Staffing Hours per Resident per Day
3.36586
Adjusted LPN Staffing Hours per Resident per Day
1.19131
Adjusted RN Staffing Hours per Resident per Day
0.72160
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17404
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
4
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
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
48
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
1
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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