Sidney Regional Medical Center-extended Care - Sidney Nursing Home
General Information
UPDATEFederal Provider Number
285290
Provider Name
SIDNEY REGIONAL MEDICAL CENTER-EXTENDED CARE
Provider Address
645 OSAGE STREET
SIDNEY, NE 69162
SIDNEY, NE 69162
Provider Phone Number
3082545825
Provider SSA County
160
Provider County Name
Cheyenne
Ownership Type
Non profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC
Date First Approved to Provide Medicare and Medicaid services
2014-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.94804
Reported LPN Staffing Hours per Resident per Day
0.65196
Reported RN Staffing Hours per Resident per Day
0.84216
Reported Licensed Staffing Hours per Resident per Day
1.49412
Reported Total Nurse Staffing Hours per Resident per Day
4.44216
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04020
Expected CNA Staffing Hours per Resident per Day
2.39918
Expected LPN Staffing Hours per Resident per Day
0.62749
Expected RN Staffing Hours per Resident per Day
0.95943
Expected Total Nurse Staffing Hours per Resident per Day
3.98611
Adjusted CNA Staffing Hours per Resident per Day
3.01503
Adjusted LPN Staffing Hours per Resident per Day
0.86236
Adjusted RN Staffing Hours per Resident per Day
0.65587
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49208
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2014-01-15
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
67.20000
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
Nursiong Homes Nearby
Golden Livingcenter - Sidney
1435 Toledo Street |
SIDNEY NE 69162 | 0.6 mile away
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