St. Joseph's Villa, Inc. - David City Nursing Home

General Information

UPDATE
Federal Provider Number
285249
Provider Name
ST. JOSEPH'S VILLA, INC.
Provider Address
927 SEVENTH STREET
DAVID CITY, NE 68632
Provider Phone Number
4023673045
Provider SSA County
110
Provider County Name
Butler
Ownership Type
Non profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST JOSEPHS VILLA INC
Date First Approved to Provide Medicare and Medicaid services
2003-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.56630
Reported LPN Staffing Hours per Resident per Day
0.65217
Reported RN Staffing Hours per Resident per Day
0.81630
Reported Licensed Staffing Hours per Resident per Day
1.46848
Reported Total Nurse Staffing Hours per Resident per Day
4.03477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00109
Expected CNA Staffing Hours per Resident per Day
2.42924
Expected LPN Staffing Hours per Resident per Day
0.65496
Expected RN Staffing Hours per Resident per Day
0.97699
Expected Total Nurse Staffing Hours per Resident per Day
4.06119
Adjusted CNA Staffing Hours per Resident per Day
2.59214
Adjusted LPN Staffing Hours per Resident per Day
0.82646
Adjusted RN Staffing Hours per Resident per Day
0.62430
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00468
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-31
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
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

David Place

260 South 10th Street | DAVID CITY NE 68632 | 0.8 mile away

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