JENNIE M MELHAM MEDICAL CENTER - BROKEN BOW, NE

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Addresss:
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

Number Of Beds
Total: 50
Total Certified: 50

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

Quality Measures

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

8.6%
State:

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
Here:

14.4%
Nebraska:

5.5%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

4.9%
Nebraska:

7.3%
Percent of long-stay residents who have depressive symptoms
Here:

20.0%
Nebraska:

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%
State:

97.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

100.0%
State:

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

31.6%
State:

22.6%

Complaint Deficiency

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
Here:

0.700
Nebraska:

0.781
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.720
State:

1.534

Process of Care

Heart Failure

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

100.0%
State:

97.3%
Percent of Patients Given Discharge Instructions
This Nursing Home:

87.0%
State:

93.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
This Nursing Home:

85.0%
State:

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

83.0%
State:

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

100.0%
Nebraska:

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%

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%
Nebraska:

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%
Nebraska:

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

4.900%
State:

5.403%

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