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LEGACY GARDEN REHABILITATION AND LIVING CENTER - PENDER, NE

 



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Address
200 VALLEY VIEW DRIVE
PENDER, NE, 68047
Phone (make sure to verify first before calling): (402) 385-3072

Number of Certified Beds: 42
Total Number of Residents: 29
Percent of Occupied Beds: 69%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - Hospital district
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.76
Certified Nurse Aides - Full Time: 11.36
Certified Nurse Aides - Part Time: 4.34
Dietitians - Under Contract: 0.09
Food Service Personnel - Full Time: 3.60
Food Service Personnel - Part Time: 2.69
Housekeeping Personnel - Full Time: 3.06
Licensed Practical/ Vocational Nurses - Full Time: 1.03
Licensed Practical/ Vocational Nurses - Part Time: 0.69
Medical Directors - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 1.24
Persons Not Included In Any Other Categories - Full Time: 2.73
Physical Therapists - Under Contract: 0.07
Registered Nurses - Full Time: 3.23
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 0.94
Activities Professionals - Full Time: 1.30
Occupational Therapists - Under Contract: 0.06
Pharmacists - Under Contract: 0.11
Persons Not Included In Any Other Categories - Under Contract: 0.61
Other Physicians - Under Contract: 0.01
Persons Not Included In Any Other Categories - Part Time: 0.27
Occupational Therapy Assistants - Under Contract: 0.04
Housekeeping Personnel - Part Time: 0.09

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood 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 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 Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents
  • Vocational Services Are Provided Offsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

1.010
Nebraska:

0.754
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.530
State:

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

1.550
State:

1.534
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.020
Nebraska:

0.061
Number Therapy Hours Per Resident Per Day
Here:

0.020
Nebraska:

0.069

Quality Measures

Percent of long-stay residents who lose too much weight
Here:

6.5%
Nebraska:

6.9%
Percent of long-stay residents with a urinary tract infection
Here:

9.7%
State:

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

6.7%
Nebraska:

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

3.2%
Nebraska:

4.1%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

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:

12.9%
State:

22.6%

Complaint Deficiency

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Many (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Many (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)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (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)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

Use a registered nurse at least 8 hours a day, 7 days a week: Many (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: 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 activities to meet the interests and needs of each resident: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (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)

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)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: 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)

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: Some (Minimal harm or potential for actual harm)

Operate and provide services according to Federal, State, and local laws and professional standards: Many (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

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

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

An approved back-up procedure for a faulty fire alarm system: Many (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Many (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)

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

Properly located and lighted Exit signs: Some (Minimal harm or potential for actual harm)

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

Properly protected cooking facilities: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

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

Provide housekeeping and maintenance services: Some (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)

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