Genoa Community Hospital/Ltc
P O Box 310, 606/706 Ewing Avenue, Genoa, NE 68640


Genoa Community Hospital/Ltc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 28E271. The address is P O Box 310, 606/706 Ewing Avenue, Genoa, NE 68640. The zip code is 68640. The phone number is 4029932283.


Genoa Community Hospital/Ltc · P O Box 310, 606/706 Ewing Avenue, Genoa, NE 68640

Federal Provider Number 28E271
Provider Name GENOA COMMUNITY HOSPITAL/LTC
Address P O BOX 310, 606/706 EWING AVENUE
GENOA, NE 68640
Phone Number 4029932283
SSA County Code 620
County Name Nance
Ownership Type Government - City/county
Certified Beds 39
Certified Beds Residents 33
Provider Type Medicaid
Resides in Hospital true
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 01/24/1989
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.2697
Reported LPN Staffing Hours per Resident per Day 0.33333
Reported RN Staffing Hours per Resident per Day 0.70455
Reported Licensed Staffing Hours per Resident per Day 1.03788
Reported Total Nurse Staffing Hours per Resident per Day 3.30758
Reported Physical Therapist Staffing Hours per Resident Per Day 0
Expected CNA Staffing Hours per Resident per Day 2.52556
Expected LPN Staffing Hours per Resident per Day 0.61201
Expected RN Staffing Hours per Resident per Day 0.80523
Expected Total Nurse Staffing Hours per Resident per Day 3.9428
Adjusted CNA Staffing Hours per Resident per Day 2.20512
Adjusted LPN Staffing Hours per Resident per Day 0.45206
Adjusted RN Staffing Hours per Resident per Day 0.65377
Adjusted Total Nurse Staffing Hours per Resident per Day 3.38149
Cycle 1 Total Number of Health Deficiencies 0
Cycle 1 Number of Standard Health Deficiencies 0
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 0
Cycle 1 Standard Survey Health Date 09/08/2016
Cycle 1 Number of Health Revisits 0
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 0
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 07/01/2015
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 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 06/05/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 19.333
Number of Facility Reported Incidents 7
Number of Substantiated Complaints 1
Number of Fines 0
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 08/01/2017

Owner or Manager · Genoa Community Hospital/Ltc

Owner Name Role Association Date
() Ownership Data Not Available

Genoa · Nursing Home

Genoa Retirement Village 300 Cherry St, Genoa, OH 43430

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