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Wedgewood Care Center - Grand Island Nursing Home

General Information

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Federal Provider Number
285221
Provider Name
WEDGEWOOD CARE CENTER
Provider Address
800 STOEGER DRIVE
GRAND ISLAND, NE 68803
Provider Phone Number
(308) 382-5440
Provider SSA County
390
Provider County Name
Hall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
71
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
1998-05-21
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.51761
Reported LPN Staffing Hours per Resident per Day
0.63099
Reported RN Staffing Hours per Resident per Day
0.65352
Reported Licensed Staffing Hours per Resident per Day
1.28451
Reported Total Nurse Staffing Hours per Resident per Day
3.80212
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06056
Expected CNA Staffing Hours per Resident per Day
2.20091
Expected LPN Staffing Hours per Resident per Day
0.57042
Expected RN Staffing Hours per Resident per Day
0.95185
Expected Total Nurse Staffing Hours per Resident per Day
3.72318
Adjusted CNA Staffing Hours per Resident per Day
2.80677
Adjusted LPN Staffing Hours per Resident per Day
0.91813
Adjusted RN Staffing Hours per Resident per Day
0.51301
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11636
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-11-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
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
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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