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MONTCLAIR NURSING AND REHABILITATION CENTER

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MONTCLAIR NURSING AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City OMAHA   vs 0.2% Nursing Homes USA have OMAHA
State attribute explanation NE   vs 1.4% Nursing Homes USA have NE
Street 2525 SOUTH 135TH AVENUE  
Zip Code 68144  
Phone 4023332304  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
175  (66.06 higher than average)
vs
108.94

Total Number of Residents
159  (67.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 3/3/2011  
Fire Survey Date 2/28/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA 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? No  vs 68.7% Nursing Homes USA don't 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
(55.31 lower than average)
vs
56.31

# of deficiencies
21  (13.52 higher than average)
vs
7.48

Staff Information
Number of Residents
159  (67.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.6  (0.17 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.77  (0.07 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.37  (0.22 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 03/03/2011
date Of Correction: 04/15/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/03/2011
date Of Correction: 04/15/2011 

Deficiency #3 Scope: Few
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: 11/16/2010
date Of Correction: 12/25/2010 

Deficiency #4 Scope: Few
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: 11/18/2009
date Of Correction: 01/02/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/03/2011
date Of Correction: 04/15/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 06/29/2011
date Of Correction: 08/12/2011 

Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 03/03/2011
date Of Correction: 04/15/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 03/03/2011
date Of Correction: 04/15/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 06/29/2011
date Of Correction: 08/12/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 06/29/2011
date Of Correction: 08/12/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 06/29/2011
date Of Correction: 08/12/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.
survey Date: 06/29/2011
date Of Correction: 08/12/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 03/03/2011
date Of Correction: 04/15/2011 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 07/22/2009
date Of Correction: 09/05/2009 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/22/2009
date Of Correction: 09/05/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 06/29/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 03/03/2011
date Of Correction: 04/15/2011 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/29/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.
survey Date: 11/18/2009
date Of Correction: 01/02/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 07/22/2009
date Of Correction: 09/05/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 03/03/2011
date Of Correction: 04/15/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.9-24 % (8.19 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (32.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
11.5 % (5.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 8.6:1 % 
Percent of long-stay residents who lose too much weight
8.3 % (3.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
59.1 % (14.56 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.1 % (12.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.6 % (6.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.8 % (27.58 % lower 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 short-stay residents who self-report moderate to severe pain
16.4 % (8.62 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
84.1 % (0.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
82 % (1.94 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
2.5 % (43.4 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.4 % (13.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.8 % (9.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (22.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
14.2 % (0.1 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.9 % (3.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.5 % (equals average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
51.7 % (8.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 % (5.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.5 % (4.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.3 % (18.56 % 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
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
16.7 % (8.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.3 % (7.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
73.8 % (0.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.9 % (13.44 % lower than average)
vs
17.34 %



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