Nebraska Nursing Homes >> Omaha Nursing Homes >> The Lighthouse At Lakeside Village

The Lighthouse At Lakeside Village - Omaha Nursing Home

General Information

UPDATE
Federal Provider Number
285280
Provider Name
THE LIGHTHOUSE AT LAKESIDE VILLAGE
Provider Address
17600 ARBOR STREET
OMAHA, NE 68130
Provider Phone Number
4027170200
Provider SSA County
270
Provider County Name
Douglas
Ownership Type
Non profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IMMANUEL LONG TERM CARE
Date First Approved to Provide Medicare and Medicaid services
2009-05-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
5
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
3.27500
Reported LPN Staffing Hours per Resident per Day
0.68750
Reported RN Staffing Hours per Resident per Day
1.85714
Reported Licensed Staffing Hours per Resident per Day
2.54464
Reported Total Nurse Staffing Hours per Resident per Day
5.81964
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13036
Expected CNA Staffing Hours per Resident per Day
2.67319
Expected LPN Staffing Hours per Resident per Day
0.60868
Expected RN Staffing Hours per Resident per Day
0.83634
Expected Total Nurse Staffing Hours per Resident per Day
4.11821
Adjusted CNA Staffing Hours per Resident per Day
3.00610
Adjusted LPN Staffing Hours per Resident per Day
0.93748
Adjusted RN Staffing Hours per Resident per Day
1.65919
Adjusted Total Nurse Staffing Hours per Resident per Day
5.69626
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
16
Cycle 1 Standard Survey Health Date
2014-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-01-09
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
3
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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