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Skyline Nursing And Rehabilitation - Omaha Nursing Home

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Federal Provider Number
285238
Provider Name
SKYLINE NURSING AND REHABILITATION
Provider Address
7350 GRACELAND DRIVE
OMAHA, NE 68134
Provider Phone Number
(402) 572-5750
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD HOPE HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
2000-05-08
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30822
Reported LPN Staffing Hours per Resident per Day
0.47260
Reported RN Staffing Hours per Resident per Day
0.95137
Reported Licensed Staffing Hours per Resident per Day
1.42397
Reported Total Nurse Staffing Hours per Resident per Day
3.73219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08014
Expected CNA Staffing Hours per Resident per Day
2.52015
Expected LPN Staffing Hours per Resident per Day
0.54555
Expected RN Staffing Hours per Resident per Day
0.86334
Expected Total Nurse Staffing Hours per Resident per Day
3.92905
Adjusted CNA Staffing Hours per Resident per Day
2.24736
Adjusted LPN Staffing Hours per Resident per Day
0.71901
Adjusted RN Staffing Hours per Resident per Day
0.82338
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82894
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
25
Cycle 2 Health Deficiency Score
216
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
151
Cycle 2 Total Health Score
367
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
152.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
12025
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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