GOLDEN OURS CONVALESCENT HOME (GRANT, NE) Detailed Nursing Home Profile

Use of Medical Imaging

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

This Nursing Home:	13.600%
State:	9.790%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	6.400%
State:	5.403%

Process of Care

Pneumonia

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

Here:	92.0%
Nebraska:	97.3%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Nursing Home:	92.0%
State:	94.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	93.9%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.9%
Nebraska:	12.3%

30-Day Readmission Rates from Pneumonia

Here:	19.3%
State:	18.4%

Quality Measures

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

Here:	33.3%
State:	14.1%

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

Here:	12.7%
State:	12.2%

Percent of long-stay high-risk residents with pressure ulcers

Here:	5.6%
Nebraska:	4.2%

Percent of long-stay residents who lose too much weight

Here:	9.8%
Nebraska:	6.9%

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

This Nursing Home:	8.8%
Nebraska:	5.5%

Percent of long-stay residents with a urinary tract infection

Here:	4.9%
State:	7.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	19.5%
State:	8.0%

Percent of long-stay residents who were physically restrained

This Nursing Home:	7.3%
State:	0.9%

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

This Nursing Home:	7.3%
Nebraska:	4.1%

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

Here:	100.0%
State:	97.0%

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

This Nursing Home:	100.0%
Nebraska:	95.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	23.1%
State:	22.6%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 40%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	3%
Nebraska:	3%

Usually

This Nursing Home:	17%
Nebraska:	16%

Always

Here:	80%
Nebraska:	81%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	2%

Usually

Here:	6%
Nebraska:	14%

Always

Here:	92%
State:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	2%
Nebraska:	5%

Usually

Here:	15%
Nebraska:	23%

Always

Here:	83%
Nebraska:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	3%
Nebraska:	4%

Usually

This Nursing Home:	23%
Nebraska:	25%

Always

This Nursing Home:	74%
Nebraska:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	15%
State:	15%

Usually

Here:	24%
Nebraska:	21%

Always

Here:	61%
State:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	3%
Nebraska:	6%

Usually

This Nursing Home:	14%
State:	16%

Always

This Nursing Home:	83%
State:	78%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	15%
State:	7%

Usually

Here:	31%
Nebraska:	30%

Always

Here:	54%
Nebraska:	63%

Were patients given information about what to do during their recovery at home?

Yes

This Nursing Home:	80%
Nebraska:	87%

Here:	20%
State:	13%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:	3%
State:	5%

7 or 8

This Nursing Home:	17%
Nebraska:	21%

9 or 10

Here:	80%
State:	74%

Would patients recommend the hospital to friends and family?

Here:	3%
State:	2%

Yes, probably

This Nursing Home:	15%
Nebraska:	23%

Yes, definitely

This Nursing Home:	82%
Nebraska:	75%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.090
Nebraska:	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

Here:	1.780
Nebraska:	1.534

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.061

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.069

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide routine and 24-hour emergency dental care for each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Try to resolve each resident's complaints quickly
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some

GOLDEN OURS CONVALESCENT HOME - GRANT, NE

Use of Medical Imaging

Process of Care

Pneumonia

Outcome of Care

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

Staff Information

Complaint Deficiency

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