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BLUE VALLEY LUTHERAN CARE HOME

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BLUE VALLEY LUTHERAN CARE HOME VS
All other Nursing Homes USA
General
City HEBRON   vs 0% Nursing Homes USA have HEBRON
State attribute explanation NE   vs 1.4% Nursing Homes USA have NE
Street P O BOX 166, 755 SOUTH 3RD STREET  
Zip Code 68370  
Phone 4027683930  
Overall Star Rating
(1.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
64  (44.94 lower than average)
vs
108.94

Total Number of Residents
51  (40.25 lower than average)
vs
91.25

Percent of Occupied Beds
80 % (3.65 % lower than average)
vs
83.65 %

Health Survey Date 3/14/2012  
Fire Survey Date 3/27/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
51  (40.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.49  (0.28 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.64  (0.2 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.13  (0.46 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/03/2011
date Of Correction: 02/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/14/2010
date Of Correction: 02/28/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 01/14/2010
date Of Correction: 02/28/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/14/2010
date Of Correction: 02/28/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 01/14/2010
date Of Correction: 02/28/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 01/14/2010
date Of Correction: 02/28/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
45 % (19.91 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
75.2 % (58.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (62.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.7 % (8.13 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.4 % (6.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
45.7 % (20.31 % higher than average)
vs
25.39 %

Percent of long-stay residents who self-report moderate to severe pain
75.2 % (61.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (65.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3 % (5.5 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.8 % (1.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.6 % (19.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (9.53 % lower than average)
vs
10.73 %



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