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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