| General |
| City |
| Omaha |
Friend |
| State attribute explanation |
| Ne |
Ne |
| Street |
| 4102 Woolworth Avenue |
905 Second Street |
| Zip Code |
| 68,105 |
68,359 |
| Phone |
| 4,024,447,314 |
4,029,472,541 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 5 |
3 |
|
Nurse Staffing Star Rating |
| 5 |
5 |
|
Quality Measures Star Rating |
| 3 |
5 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 254 |
51 |
|
Total Number of Residents |
| 226 |
29 |
|
Percent of Occupied Beds |
| 89 % |
57 % |
| Health Survey Date |
| 7/13/2011 |
4/10/2012 |
| Fire Survey Date |
| 7/25/2011 |
5/15/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicaid |
| Type of Ownership |
| Government - County |
Government - City |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 3 |
75.2 |
| # of deficiencies |
| 1 |
9 |
|
| Staff Information |
| Number of Residents |
| 226 |
29 |
| Number of RN Hours Per Resident Per Day |
| 0.85 |
0.66 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.78 |
1.16 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.63 |
1.81 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
0.12 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both.survey Date: 04/10/2012date Of Correction: 05/25/2012 |
| 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: 05/09/2011date Of Correction: 06/23/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.survey Date: 04/10/2012date Of Correction: 05/25/2012 |
| 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 Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/09/2011date Of Correction: 06/23/2011 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 04/10/2012date Of Correction: 05/25/2012 |
| Deficiency #2 |
|
Scope: Fewlevel 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: 05/09/2011date Of Correction: 06/23/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 05/09/2011date Of Correction: 06/23/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.survey Date: 04/10/2012date Of Correction: 05/25/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 05/09/2011date Of Correction: 06/23/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.5 % |
14.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.6 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.9 / 15.3 |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.7 % |
|
| Percent of long-stay residents who lose too much weight |
| 6.2 % |
2.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 30.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.8 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.7 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.5 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.2 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2 |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.3 % |
8.6:1 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37 % |
18.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 9.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.6:1 |
2.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.2 % |
3.5 % |
| Percent of long-stay residents who lose too much weight |
| 5.1 % |
3.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 32.2 % |
22.4:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.8 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.7 % |
75.2 % |
| 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 % |
14 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 25 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.5 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.8 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.8 % |
|