| General |
| City |
| Omaha |
Coleridge |
| State attribute explanation |
| Ne |
Ne |
| Street |
| 7410 Mercy Road |
309 North Madison Street |
| Zip Code |
| 68,124 |
68,727 |
| Phone |
| 4,023,971,220 |
4,022,834,224 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 1 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 4 |
5 |
|
Number of Certified Beds |
| 174 |
35 |
| Total Number of Residents |
| 110 |
26 |
|
Percent of Occupied Beds |
| 63 % |
74 % |
| Health Survey Date |
| 10/3/2011 |
1/11/2012 |
| Fire Survey Date |
| 9/30/2011 |
1/4/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Government - City |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| None |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 30 |
3 |
|
| Staff Information |
| Number of Residents |
| 110 |
26 |
| Number of RN Hours Per Resident Per Day |
| 0.99 |
0.91 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.86 |
0.44 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.85 |
1.35 |
| Number of CNA Hours Per Resident Per Day |
| 0.14 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.14 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 06/22/2011date Of Correction: 08/08/2011 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/19/2010date Of Correction: 06/03/2010 |
|
| Deficiency #5 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/14/2009date Of Correction: 06/28/2009 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/22/2011date Of Correction: 08/08/2011 |
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: 10/21/2010date Of Correction: 12/06/2010 |
| Deficiency #2 |
| 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: 06/22/2011date Of Correction: 08/08/2011 |
|
| Deficiency #3 |
| 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: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #4 |
| 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: 06/23/2010date Of Correction: 08/07/2010 |
|
| 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: 06/22/2011date Of Correction: 08/08/2011 |
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: 01/11/2012date Of Correction: 02/17/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 05/17/2011date Of Correction: 07/01/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 04/19/2010date Of Correction: 06/03/2010 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 04/19/2010date Of Correction: 06/03/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/16/2012date Of Correction: 06/29/2012 |
|
| Deficiency #2 |
| Scope: Somelevel 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: 12/22/2010date Of Correction: 02/05/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.survey Date: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #4 |
| Scope: Somelevel 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: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #5 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #6 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/17/2010date Of Correction: 06/28/2010 |
|
| Deficiency #7 |
| 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: 04/19/2010date Of Correction: 06/03/2010 |
|
| Deficiency #8 |
| 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: 05/14/2009date Of Correction: 06/28/2009 |
|
| 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: 06/22/2011date Of Correction: 08/08/2011 |
|
| 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: 12/22/2010date Of Correction: 02/05/2011 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 08/11/2010date Of Correction: 09/25/2010 |
|
| Deficiency #4 |
| 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: 04/16/2009date Of Correction: 05/05/2009 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 06/22/2011date Of Correction: 08/08/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 12/06/2011date Of Correction: 12/27/2011 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/22/2011date Of Correction: 08/08/2011 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 05/14/2009date Of Correction: 06/28/2009 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 01/11/2012date Of Correction: 02/17/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.8 (82.0) |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.6 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.6 % |
|
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 7.4 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 3.7 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 7.4 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.2 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 51.5 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.8 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.7 (74.7) |
27.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
3.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3 % |
8.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.7 % |
6.1 % |
| Percent of long-stay residents who lose too much weight |
| 4.8 % |
3.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 53.3 % |
41.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
6 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.8 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
20.7 (69.3) |
| 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 |
| 3.3 % |
2.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.2 % |
24.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 70.1 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 41.8 % |
64.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.3 % |
75.2 % |