Nebraska Nursing Homes >> Waverly Nursing Homes >> Waverly Care Center

Waverly Care Center - Waverly Nursing Home

General Information

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Federal Provider Number
285143
Provider Name
WAVERLY CARE CENTER
Provider Address
11041 NORTH 137TH ST
WAVERLY, NE 68462
Provider Phone Number
(402) 786-2626
Provider SSA County
540
Provider County Name
Lancaster
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE-NE LLC
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.23980
Reported LPN Staffing Hours per Resident per Day
0.35000
Reported RN Staffing Hours per Resident per Day
0.96122
Reported Licensed Staffing Hours per Resident per Day
1.31122
Reported Total Nurse Staffing Hours per Resident per Day
3.55102
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03673
Expected CNA Staffing Hours per Resident per Day
2.15778
Expected LPN Staffing Hours per Resident per Day
0.57794
Expected RN Staffing Hours per Resident per Day
0.90538
Expected Total Nurse Staffing Hours per Resident per Day
3.64110
Adjusted CNA Staffing Hours per Resident per Day
2.54697
Adjusted LPN Staffing Hours per Resident per Day
0.50265
Adjusted RN Staffing Hours per Resident per Day
0.79328
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93117
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
38.00000
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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