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JENNIE M MELHAM MEDICAL CENTER - BROKEN BOW, NE

 



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Address
P O BOX 250, 145 MEMORIAL DRIVE
BROKEN BOW, NE, 68822
Phone (make sure to verify first before calling): (308) 872-4100

Number of Certified Beds: 50
Total Number of Residents: 44
Percent of Occupied Beds: 88%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 12.66
Certified Nurse Aides - Part Time: 7.60
Food Service Personnel - Full Time: 11.57
Food Service Personnel - Part Time: 2.69
Housekeeping Personnel - Full Time: 4.50
Licensed Practical/ Vocational Nurses - Full Time: 4.53
Licensed Practical/ Vocational Nurses - Part Time: 1.59
Nurses With Administrative Duties - Full Time: 1.33
Persons Not Included In Any Other Categories - Full Time: 4.11
Registered Nurses - Full Time: 2.50
Rn Director Of Nursing - Full Time: 1.23
Activities Professionals - Full Time: 1.07
Persons Not Included In Any Other Categories - Part Time: 0.77
Registered Nurses - Part Time: 1.87
Licensed Practical/ Vocational Nurses - Under Contract: 0.50
Certified Nurse Aides - Under Contract: 1.44
Medication Aides/ Technicians - Part Time: 0.44
Medication Aides/ Technicians - Full Time: 4.91

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite 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 Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Offsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Offsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
This Nursing Home:

24.800%
State:

9.790%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.037%
Nebraska:

0.126%
Outpatient CT scans of the chest that were combination (double) scans.
This Nursing Home:

0.031%
State:

0.033%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
Here:

4.900%
Nebraska:

5.403%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

8.6%
Nebraska:

14.1%
Percent of long-stay residents who lose too much weight
This Nursing Home:

2.4%
State:

6.9%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

14.4%
State:

5.5%
Percent of long-stay residents with a urinary tract infection
Here:

4.9%
Nebraska:

7.3%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

20.0%
State:

8.0%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

12.2%
State:

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
Here:

100.0%
Nebraska:

95.9%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

31.6%
Nebraska:

22.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

1.030
State:

0.754
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.700
State:

0.781
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.720
Nebraska:

1.534

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
Here:

100.0%
State:

97.3%
Percent of Patients Given Discharge Instructions
Here:

87.0%
State:

93.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
Here:

85.0%
Nebraska:

97.3%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

83.0%
Nebraska:

94.1%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

100.0%
State:

93.8%
Percent of Patients Assessed and Given Pneumococcal Vaccination
This Nursing Home:

79.0%
State:

93.9%

Outcome of Care

30-Day Mortality Rates from Heart Failure
Here:

11.8%
Nebraska:

12.4%
30-Day Mortality Rates from Pneumonia
Here:

12.1%
Nebraska:

12.3%
30-Day Readmission Rates from Heart Failure
Here:

25.9%
State:

24.4%
30-Day Readmission Rates from Pneumonia
Here:

20.9%
State:

18.4%

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: 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)

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: Few (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)

Record of quarterly fire drills for each shift under varying conditions: 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)

Proper medical gas storage and administration areas: Many (Minimal harm or potential for actual harm)

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

An approved installation, maintenance and testing program for fire alarm systems: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

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

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

Proper exit design: Some (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Protect each resident from all abuse, physical punishment, and being separated from others: Few (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: 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)

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)

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

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: Few (Minimal harm or potential for actual harm)

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: 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)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: 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)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Many (Minimal harm or potential for actual harm)

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