| General |
| City |
| Wayne |
Benkelman |
| State attribute explanation |
| Ne |
Ne |
| Street |
| 811 East 14th Street |
P O Box 646, 407 Dakota Street |
| Zip Code |
| 68,787 |
69,021 |
| Phone |
| 4,023,751,922 |
3,084,232,179 |
|
Overall Star Rating |
| 2 |
1 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 2 |
1 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 60 |
56 |
|
Total Number of Residents |
| 40 |
38 |
|
Percent of Occupied Beds |
| 67 % |
68 % |
| Health Survey Date |
| 9/22/2011 |
6/9/2011 |
| Fire Survey Date |
| 9/15/2011 |
6/9/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 11 |
2 |
|
| Staff Information |
| Number of Residents |
| 40 |
38 |
| Number of RN Hours Per Resident Per Day |
| 0.91 |
0.67 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.43 |
0.62 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.34 |
1.28 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 09/22/2011date Of Correction: 10/21/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/16/2011date Of Correction: 12/19/2011 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 06/16/2009date Of Correction: 07/22/2009 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/16/2009date Of Correction: 07/22/2009 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 1deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 06/16/2009date Of Correction: 07/22/2009 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 11/29/2010date Of Correction: 01/25/2011 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 05/22/2012date Of Correction: 07/06/2012 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 09/22/2011date Of Correction: 10/21/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 11/29/2010date Of Correction: 01/25/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 06/16/2009date Of Correction: 07/22/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 09/22/2011date Of Correction: 10/21/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 11/29/2010date Of Correction: 01/25/2011 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 06/16/2009date Of Correction: 07/22/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.6 (78.1) |
23.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
27 % |
| Percent of long-stay residents who lose too much weight |
| 23.1 % |
24.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
11.2-20 |
| Percent of long-stay residents with a urinary tract infection |
| 2.6 / 3 |
18.2:1 |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
5.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1 |
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5 % |
8.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.8 % |
22.2:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
6.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 22 % |
28.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.6:1 |
7.8 % |
| Percent of long-stay residents who lose too much weight |
| 15.3 % |
17.1:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50 % |
58.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
5.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.9 % |
19 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.1 % |
5.6:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 27.7 % |
7.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 30.6 % |
32 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 77.8 % |
79.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 77.8 % |
79.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.8 % |
|