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NEBRASKA SKILLED NURSING & REHAB

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NEBRASKA SKILLED NURSING & REHAB 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 7410 MERCY ROAD  
Zip Code 68124  
Phone 4023971220  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

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

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
174  (65.06 higher than average)
vs
108.94

Total Number of Residents
110  (18.75 higher than average)
vs
91.25

Percent of Occupied Beds
63 % (20.65 % lower than average)
vs
83.65 %

Health Survey Date 10/3/2011  
Fire Survey Date 9/30/2011  
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 - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
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 None  vs 3.9% Nursing Homes USA have None
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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
30  (22.52 higher than average)
vs
7.48

Staff Information
Number of Residents
110  (18.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.99  (0.22 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.86  (0.02 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.85  (0.26 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.14  (5.35 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.14  (0.04 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 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: 06/22/2011
date Of Correction: 08/08/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/19/2010
date Of Correction: 06/03/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 05/14/2009
date Of Correction: 06/28/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/22/2011
date Of Correction: 08/08/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 06/22/2011
date Of Correction: 08/08/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 06/23/2010
date Of Correction: 08/07/2010 

Resident Rights Deficiencies
Deficiency #1 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: 06/22/2011
date Of Correction: 08/08/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 05/17/2011
date Of Correction: 07/01/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 04/19/2010
date Of Correction: 06/03/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 04/19/2010
date Of Correction: 06/03/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/16/2012
date Of Correction: 06/29/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 12/22/2010
date Of Correction: 02/05/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #4 Scope: Some
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: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/17/2010
date Of Correction: 06/28/2010 

Deficiency #7 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: 04/19/2010
date Of Correction: 06/03/2010 

Deficiency #8 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: 05/14/2009
date Of Correction: 06/28/2009 

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: 06/22/2011
date Of Correction: 08/08/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 12/22/2010
date Of Correction: 02/05/2011 

Deficiency #3 Scope: Some
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: 08/11/2010
date Of Correction: 09/25/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 04/16/2009
date Of Correction: 05/05/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 06/22/2011
date Of Correction: 08/08/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 12/06/2011
date Of Correction: 12/27/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/22/2011
date Of Correction: 08/08/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 05/14/2009
date Of Correction: 06/28/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.8 (82.0) % (2.71 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (31.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.6 % (15.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.6 % (4.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
2.5 % (9.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
50 % (5.46 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.3 % (10.33 % lower 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
3.7 % (24.68 % 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
7.4 % (17.62 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.2 % (11.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
51.5 % (32.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
4.8 % (10.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.7 (74.7) % (1.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (11.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.7 % (1.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.8 % (3.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
53.3 % (9.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (5.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.8 % (4.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5 % (14.86 % 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
3.3 % (7.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
14.2 % (10.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.1 % (11.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
41.8 % (32.95 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.3 % (13.04 % lower than average)
vs
17.34 %



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