Nebraska Nursing Homes >> Lincoln Nursing Homes >> Southlake Village Rehabilitation & Care Center

Southlake Village Rehabilitation & Care Center - Lincoln Nursing Home

General Information

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Federal Provider Number
285219
Provider Name
SOUTHLAKE VILLAGE REHABILITATION & CARE CENTER
Provider Address
9401 ANDERMATT DRIVE
LINCOLN, NE 68526
Provider Phone Number
(402) 476-3274
Provider SSA County
540
Provider County Name
Lancaster
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR OF LINCOLN INC
Date First Approved to Provide Medicare and Medicaid services
1998-05-07
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
5
Health Inspection Rating Footnote
QM Rating
4
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
3.08716
Reported LPN Staffing Hours per Resident per Day
0.63440
Reported RN Staffing Hours per Resident per Day
1.31239
Reported Licensed Staffing Hours per Resident per Day
1.94679
Reported Total Nurse Staffing Hours per Resident per Day
5.03395
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19587
Expected CNA Staffing Hours per Resident per Day
2.47844
Expected LPN Staffing Hours per Resident per Day
0.61424
Expected RN Staffing Hours per Resident per Day
0.90809
Expected Total Nurse Staffing Hours per Resident per Day
4.00077
Adjusted CNA Staffing Hours per Resident per Day
3.05634
Adjusted LPN Staffing Hours per Resident per Day
0.85724
Adjusted RN Staffing Hours per Resident per Day
1.07987
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07186
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
12
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.00000
Number of Facility Reported Incidents
1
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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