South Haven Living Center - Wahoo Nursing Home

General Information

UPDATE
Federal Provider Number
285231
Provider Name
SOUTH HAVEN LIVING CENTER
Provider Address
1400 MARK DRIVE
WAHOO, NE 68066
Provider Phone Number
4024433737
Provider SSA County
770
Provider County Name
Saunders
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE OF WAHOO, 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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.91471
Reported LPN Staffing Hours per Resident per Day
0.63676
Reported RN Staffing Hours per Resident per Day
1.11397
Reported Licensed Staffing Hours per Resident per Day
1.75074
Reported Total Nurse Staffing Hours per Resident per Day
4.66544
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01985
Expected CNA Staffing Hours per Resident per Day
2.04156
Expected LPN Staffing Hours per Resident per Day
0.56082
Expected RN Staffing Hours per Resident per Day
0.86404
Expected Total Nurse Staffing Hours per Resident per Day
3.46642
Adjusted CNA Staffing Hours per Resident per Day
3.50312
Adjusted LPN Staffing Hours per Resident per Day
0.94239
Adjusted RN Staffing Hours per Resident per Day
0.96333
Adjusted Total Nurse Staffing Hours per Resident per Day
5.42518
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-21
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
4
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
31.33300
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

Saunders Medical Center

1760 County Rd J | WAHOO NE 68066 | 1 mile away

Ashland Care Center

1700 Furnas Street | ASHLAND NE 68003 | 16.3 miles away

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