Plum Creek Care Center · Kismet Lxn LLC

3083245531 · 1505 North Adams Street, Lexington, NE 68850

Overview

Plum Creek Care Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #285159. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 1505 North Adams Street, Lexington, NE 68850. The overall rating is 1.

Federal Provider Number 285159
Provider Name PLUM CREEK CARE CENTER
Legal Business Name KISMET LXN LLC
Address 1505 North Adams Street
Lexington
NE 68850
County Dawson
Telephone 3083245531
Ownership Type For profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1995-03-01
Number of Certified Beds 66
Average Number of Residents per Day 29.5
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 4
Long Stay Quality Measure Rating 2
Short Stay Quality Measure Rating 5
Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Registered Nurses Staffing Rating 1 This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Reported CNA Staffing Hours per Resident per Day 2.35950
Reported LPN Staffing Hours per Resident per Day 0.60755
Reported RN Staffing Hours per Resident per Day 0.46554
Reported Licensed Staffing Hours per Resident per Day 1.07308
Reported Total Nurse Staffing Hours per Resident per Day 3.43258
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00878
Expected CNA Staffing Hours per Resident per Day 2.22071
Expected LPN Staffing Hours per Resident per Day 0.71038
Expected RN Staffing Hours per Resident per Day 0.52678
Expected Total Nurse Staffing Hours per Resident per Day 3.45787
Adjusted CNA Staffing Hours per Resident per Day 2.18746
Adjusted LPN Staffing Hours per Resident per Day 0.63366
Adjusted RN Staffing Hours per Resident per Day 0.35367
Adjusted Total Nurse Staffing Hours per Resident per Day 3.17650
Rating Cycle 1 Standard Survey Health Date 2020-03-10
Rating Cycle 1 Total Number of Health Deficiencies 12
Rating Cycle 1 Number of Standard Health Deficiencies 11
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 80
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 80
Rating Cycle 2 Standard Health Survey Date 2018-12-18
Rating Cycle 2 Total Number of Health Deficiencies 19
Rating Cycle 2 Number of Standard Health Deficiencies 10
Rating Cycle 2 Number of Complavarchar Health Deficiencies 13
Rating Cycle 2 Health Deficiency Score 120
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 120
Rating Cycle 3 Standard Health Survey Date 2017-10-19
Rating Cycle 3 Total Number of Health Deficiencies 16
Rating Cycle 3 Number of Standard Health Deficiencies 13
Rating Cycle 3 Number of Complavarchar Health Deficiencies 3
Rating Cycle 3 Health Deficiency Score 128
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 128
Total Weighted Health Survey Score 101.333
Number of Facility Reported Incidents 9
Number of Substantiated Complavarchars 15
Number of Citations from Infection Control Inspections 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 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
PLUM CREEK CARE CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTKISMET HD LLCOrganizationNO PERCENTAGE PROVIDEDsince 09/01/2018
5% OR GREATER DIRECT OWNERSHIP INTERESTLANTIS, CAMMYIndividualNO PERCENTAGE PROVIDEDsince 09/01/2018
5% OR GREATER DIRECT OWNERSHIP INTERESTLANTIS, MARYIndividualNO PERCENTAGE PROVIDEDsince 09/01/2018
5% OR GREATER DIRECT OWNERSHIP INTERESTLANTIS, TRAVISIndividualNO PERCENTAGE PROVIDEDsince 09/01/2018
5% OR GREATER DIRECT OWNERSHIP INTERESTRINARD, SANDRAIndividualNO PERCENTAGE PROVIDEDsince 09/01/2018
5% OR GREATER DIRECT OWNERSHIP INTERESTSOULEK, WENDYIndividualNO PERCENTAGE PROVIDEDsince 09/01/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTKISMET HOLDINGS LLCOrganization100%since 09/01/2018
MANAGING EMPLOYEELANTIS, CAMMYIndividualsince 09/01/2018
MANAGING EMPLOYEELANTIS, MARYIndividualsince 09/01/2018
MANAGING EMPLOYEELANTIS, TRAVISIndividualsince 09/01/2018
MANAGING EMPLOYEEMOORE, MICHAELIndividualsince 09/01/2018
MANAGING EMPLOYEERINARD, SANDRAIndividualsince 09/01/2018
MANAGING EMPLOYEESKALA, JULIEIndividualsince 09/01/2018
MANAGING EMPLOYEESOULEK, WENDYIndividualsince 09/01/2018
OPERATIONAL/MANAGERIAL CONTROLLANTIS ENTERPRISES, INCOrganizationsince 09/01/2018
OPERATIONAL/MANAGERIAL CONTROLLANTIS, CAMMYIndividualsince 09/01/2018
OPERATIONAL/MANAGERIAL CONTROLLANTIS, MARYIndividualsince 09/01/2018
OPERATIONAL/MANAGERIAL CONTROLLANTIS, TRAVISIndividualsince 09/01/2018
OPERATIONAL/MANAGERIAL CONTROLMOORE, MICHAELIndividualsince 09/01/2018
OPERATIONAL/MANAGERIAL CONTROLRINARD, SANDRAIndividualsince 09/01/2018
OPERATIONAL/MANAGERIAL CONTROLSOULEK, WENDYIndividualsince 09/01/2018

Location Information

Street Address 1505 NORTH ADAMS STREET
City LEXINGTON
State NE
Zip Code 68850

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.