| General |
| City |
| Omaha |
Omaha |
| State attribute explanation |
| Ne |
Ne |
| Street |
| 4102 Woolworth Avenue |
2525 South 135th Avenue |
| Zip Code |
| 68,105 |
68,144 |
| Phone |
| 4,024,447,314 |
4,023,332,304 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 5 |
1 |
|
Nurse Staffing Star Rating |
| 5 |
3 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 254 |
175 |
|
Total Number of Residents |
| 226 |
159 |
|
Percent of Occupied Beds |
| 89 % |
91 % |
| Health Survey Date |
| 7/13/2011 |
3/3/2011 |
| Fire Survey Date |
| 7/25/2011 |
2/28/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 3 |
1 |
| # of deficiencies |
| 1 |
21 |
|
| Staff Information |
| Number of Residents |
| 226 |
159 |
| Number of RN Hours Per Resident Per Day |
| 0.85 |
0.6 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.78 |
0.77 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.63 |
1.37 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/03/2011date Of Correction: 04/15/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 03/03/2011date Of Correction: 04/15/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/16/2010date Of Correction: 12/25/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/18/2009date Of Correction: 01/02/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 03/03/2011date Of Correction: 04/15/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 06/29/2011date Of Correction: 08/12/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 1deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.survey Date: 03/03/2011date Of Correction: 04/15/2011 |
| Deficiency #3 |
|
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: 03/03/2011date Of Correction: 04/15/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 07/13/2011date Of Correction: 08/26/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.survey Date: 06/29/2011date Of Correction: 08/12/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 06/29/2011date Of Correction: 08/12/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 06/29/2011date Of Correction: 08/12/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.survey Date: 06/29/2011date Of Correction: 08/12/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 03/03/2011date Of Correction: 04/15/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 07/22/2009date Of Correction: 09/05/2009 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/22/2009date Of Correction: 09/05/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
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: 06/29/2011date Of Correction: Not Available |
| 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: 03/03/2011date Of Correction: 04/15/2011 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/29/2011date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.survey Date: 11/18/2009date Of Correction: 01/02/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 07/22/2009date Of Correction: 09/05/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 03/03/2011date Of Correction: 04/15/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.5 % |
16.9-24 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.6 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.9 / 15.3 |
11.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.7 % |
8.6:1 |
| Percent of long-stay residents who lose too much weight |
| 6.2 % |
8.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 30.1 % |
59.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.8 % |
3.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.7 % |
6.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.2 % |
0.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
16.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.5 % |
84.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.2 % |
82 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2 |
2.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.3 % |
2.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37 % |
15.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 9.2 % |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.6:1 |
14.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.2 % |
5.9 % |
| Percent of long-stay residents who lose too much weight |
| 5.1 % |
8.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 32.2 % |
51.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
5.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.8 % |
5.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.7 % |
1.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.8 % |
1.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 25 % |
16.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.5 % |
74.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.8 % |
73.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.8 % |
3.9 % |