| General |
| City |
| Coleridge |
Norfolk |
| State attribute explanation |
| Ne |
Ne |
| Street |
| 309 North Madison Street |
P O Box 429, 1203 North 13th Street |
| Zip Code |
| 68,727 |
68,702 |
| Phone |
| 4,022,834,224 |
4,023,714,991 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 5 |
4 |
| Number of Certified Beds |
| 35 |
108 |
|
Total Number of Residents |
| 26 |
101 |
|
Percent of Occupied Beds |
| 74 % |
94 % |
| Health Survey Date |
| 1/11/2012 |
9/8/2011 |
| Fire Survey Date |
| 1/4/2012 |
8/31/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - City |
For Profit - Corporation |
| 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? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 3 |
3 |
|
| Staff Information |
| Number of Residents |
| 26 |
101 |
| Number of RN Hours Per Resident Per Day |
| 0.91 |
0.71 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.44 |
0.41 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.35 |
1.12 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.03 |
| 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: 09/08/2011date Of Correction: 10/21/2011 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| 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 |
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: 02/27/2012date Of Correction: 03/26/2012 |
| 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: 01/11/2012date Of Correction: 02/17/2012 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 09/08/2011date Of Correction: 10/21/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 01/11/2012date Of Correction: 02/17/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
24.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
16.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
3.5 % |
| Percent of long-stay residents who lose too much weight |
|
13.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
22.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
3.7 % |
| Percent of long-stay residents with a urinary tract infection |
|
8 % |
| Percent of long-stay residents who have depressive symptoms |
|
6.8 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
18.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
91.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
92.3 % |
| 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 |
|
3.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.5 % |
24.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.8 % |
18.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.1 % |
4 % |
| Percent of long-stay residents who lose too much weight |
| 3.7 % |
8.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.5 % |
26.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6 % |
5.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.9 % |
10.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 20.7 (69.3) |
4.9 % |
| 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 |
| 2.4 % |
4.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.1 % |
27.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
91.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 64.5 % |
90.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
5.7 % |