Rose Lane Home - Loup City Nursing Home
General Information
UPDATEFederal Provider Number
285228
Provider Name
ROSE LANE HOME
Provider Address
RR 2 BOX 46, 1005 NORTH 8TH STREET
LOUP CITY, NE 68853
LOUP CITY, NE 68853
Provider Phone Number
3087450303
Provider SSA County
810
Provider County Name
Sherman
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOUP CITY HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1998-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84474
Reported LPN Staffing Hours per Resident per Day
0.36140
Reported RN Staffing Hours per Resident per Day
0.70526
Reported Licensed Staffing Hours per Resident per Day
1.06667
Reported Total Nurse Staffing Hours per Resident per Day
3.91140
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01842
Expected CNA Staffing Hours per Resident per Day
2.51673
Expected LPN Staffing Hours per Resident per Day
0.66340
Expected RN Staffing Hours per Resident per Day
0.99767
Expected Total Nurse Staffing Hours per Resident per Day
4.17780
Adjusted CNA Staffing Hours per Resident per Day
2.77350
Adjusted LPN Staffing Hours per Resident per Day
0.45216
Adjusted RN Staffing Hours per Resident per Day
0.52820
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77387
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
2014-07-31
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-23
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
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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