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The Ambassador Omaha - Omaha Nursing Home

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Federal Provider Number
285127
Provider Name
THE AMBASSADOR OMAHA
Provider Address
1540 NORTH 72ND STREET
OMAHA, NE 68114
Provider Phone Number
(402) 393-6500
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE AMBASSADOR OMAHA INC
Date First Approved to Provide Medicare and Medicaid services
1993-01-29
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
3
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
1.36302
Reported LPN Staffing Hours per Resident per Day
2.93802
Reported RN Staffing Hours per Resident per Day
1.69167
Reported Licensed Staffing Hours per Resident per Day
4.62969
Reported Total Nurse Staffing Hours per Resident per Day
5.99271
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09948
Expected CNA Staffing Hours per Resident per Day
2.46112
Expected LPN Staffing Hours per Resident per Day
0.93568
Expected RN Staffing Hours per Resident per Day
1.59877
Expected Total Nurse Staffing Hours per Resident per Day
4.99557
Adjusted CNA Staffing Hours per Resident per Day
1.35891
Adjusted LPN Staffing Hours per Resident per Day
2.60619
Adjusted RN Staffing Hours per Resident per Day
0.79062
Adjusted Total Nurse Staffing Hours per Resident per Day
4.83549
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
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
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-01-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
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
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