BLUE VALLEY LUTHERAN NURSING HOME - HEBRON, NE

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Address

P O BOX 166, 220 PARK AVENUE
HEBRON, NE, 68370

Phone (make sure to verify first before calling): (402) 768-3900

Number of Certified Beds: 64
Total Number of Residents: 55
Percent of Occupied Beds: 86%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.34
Certified Nurse Aides - Full Time: 7.77
Certified Nurse Aides - Part Time: 2.57
Dietitians - Under Contract: 0.10
Food Service Personnel - Full Time: 7.74
Food Service Personnel - Part Time: 2.77
Housekeeping Personnel - Full Time: 3.09
Licensed Practical/ Vocational Nurses - Full Time: 7.81
Licensed Practical/ Vocational Nurses - Part Time: 0.34
Medical Directors - Under Contract: 0.01
Mental Health Services Personnel - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 1.29
Persons Not Included In Any Other Categories - Full Time: 3.77
Physical Therapists - Under Contract: 0.06
Registered Nurses - Full Time: 1.09
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 0.93
Occupational Therapists - Under Contract: 0.06
Pharmacists - Under Contract: 0.04
Other Physicians - Under Contract: 0.03
Persons Not Included In Any Other Categories - Part Time: 1.37
Registered Nurses - Part Time: 0.76
Housekeeping Personnel - Part Time: 0.21
Medication Aides/ Technicians - Part Time: 1.20
Medication Aides/ Technicians - Full Time: 16.91

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Dietary Services Are Provided Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Offsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Offsite To Residents
Pharmacy Services Are Provided Offsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Offsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Social Work Services Are Provided Offsite To Residents
Speech/Language Pathology Services Are Provided Offsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.460
State:	0.754

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.770
State:	0.781

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.230
Nebraska:	1.534

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.061

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.069

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	12.8%
Nebraska:	14.1%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	6.4%
Nebraska:	12.2%

Percent of long-stay residents who lose too much weight

Here:	4.1%
Nebraska:	6.9%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	53.3%
State:	41.6%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	2.5%
Nebraska:	5.5%

Percent of long-stay residents with a urinary tract infection

Here:	6.1%
Nebraska:	7.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	4.1%
State:	8.0%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	5.9%
Nebraska:	4.1%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
Nebraska:	97.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	98.0%
Nebraska:	95.9%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
Nebraska:	88.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
Nebraska:	83.7%

Percent of long-stay residents who received an antipsychotic medication

Here:	19.6%
Nebraska:	22.6%

Complaint Deficiency

Restrictions on the use of portable space heaters: Some (Minimal harm or potential for actual harm)

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: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Some (Minimal harm or potential for actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

Fire-resistant interior walls: Many (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Many (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

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