Tabitha Nursing Home - Lincoln Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285057
Provider Name
TABITHA NURSING HOME
Provider Address
4720 RANDOLPH STREET
LINCOLN, NE 68510
LINCOLN, NE 68510
Provider Phone Number
(402) 483-7671
Provider SSA County
540
Provider County Name
Lancaster
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
215
Number of Residents in Certified Beds
206
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TABITHA INC
Date First Approved to Provide Medicare and Medicaid services
1981-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
4.21238
Reported LPN Staffing Hours per Resident per Day
1.19175
Reported RN Staffing Hours per Resident per Day
1.47063
Reported Licensed Staffing Hours per Resident per Day
2.66238
Reported Total Nurse Staffing Hours per Resident per Day
6.87476
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12476
Expected CNA Staffing Hours per Resident per Day
2.57403
Expected LPN Staffing Hours per Resident per Day
0.63700
Expected RN Staffing Hours per Resident per Day
1.01753
Expected Total Nurse Staffing Hours per Resident per Day
4.22857
Adjusted CNA Staffing Hours per Resident per Day
4.01546
Adjusted LPN Staffing Hours per Resident per Day
1.55283
Adjusted RN Staffing Hours per Resident per Day
1.07992
Adjusted Total Nurse Staffing Hours per Resident per Day
6.55339
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-12-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
24
Cycle 3 Standard Health Survey Date
2011-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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