Premier Estates of West Point, LLC
960 Prospect Road, West Point, NE 68788


Premier Estates of West Point, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 285158. The address is 960 Prospect Road, West Point, NE 68788. The zip code is 68788. The phone number is 4023722441.


Premier Estates of West Point, LLC · 960 Prospect Road, West Point, NE 68788

Federal Provider Number 285158
Provider Name PREMIER ESTATES OF WEST POINT, LLC
Address 960 PROSPECT ROAD
WEST POINT, NE 68788
Phone Number 4023722441
SSA County Code 190
County Name Cuming
Ownership Type For profit - Individual
Certified Beds 64
Certified Beds Residents 34
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PREMIER ESTATES OF WEST POINT, LLC
Date First Approved to Provide Medicare Medicaid Services 01/12/1995
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.39706
Reported LPN Staffing Hours per Resident per Day 0.39265
Reported RN Staffing Hours per Resident per Day 0.86324
Reported Licensed Staffing Hours per Resident per Day 1.25588
Reported Total Nurse Staffing Hours per Resident per Day 3.65295
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00882
Expected CNA Staffing Hours per Resident per Day 2.44974
Expected LPN Staffing Hours per Resident per Day 0.60375
Expected RN Staffing Hours per Resident per Day 0.82818
Expected Total Nurse Staffing Hours per Resident per Day 3.88166
Adjusted CNA Staffing Hours per Resident per Day 2.40094
Adjusted LPN Staffing Hours per Resident per Day 0.5398
Adjusted RN Staffing Hours per Resident per Day 0.77883
Adjusted Total Nurse Staffing Hours per Resident per Day 3.79339
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Health Deficiency Score 68
Cycle 1 Standard Survey Health Date 04/11/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 68
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Number of Complaint Health Deficiencies 13
Cycle 2 Health Deficiency Score 128
Cycle 2 Standard Health Survey Date 03/10/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 128
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 03/19/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 80
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $12423.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Premier Estates of West Point, LLC

Owner Name Role Association Date
ALBIN, PAMELA (Individual) MANAGING EMPLOYEE since 07/01/2015
BALMORAL CASTLE INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/26/2012
BENCH, GREGORY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/26/2012
BENCH, SHARI (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/26/2012
BUCUTI INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/26/2012
CULP, JAMIE (Individual) MANAGING EMPLOYEE since 02/01/2016
FAIRWAY HEALTHCARE PROPERTIES LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/09/2012
IANE PROPERTIES I LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/26/2012
MASON, CHRISTINE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/26/2012
MASON, RICHARD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/26/2012
TRILLIUM HEALTHCARE CONSULTING LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/09/2012
TRILLIUM HEALTHCARE CONSULTING LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2014
TRILLIUM HEALTHCARE GROUP LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/26/2012

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