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Cambridge Place

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About Cambridge Place

General Information

Legal Business NameBlue Valley Health Care, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1995 (21 years)
Capacity94
Residents74
Percent Occupied79%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cambridge Place

Cambridge Place
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kansas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 23, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

February 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
CManyPotential for Minimal HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaint+InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaint+InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmComplaint+Inspection1) 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.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

November 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

August 7, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cambridge Place require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 35min
2hr 15min
ReportedExpected
CNA
35min
30min
ReportedExpected
LPN
40min
45min
ReportedExpected
RN
4hr 50min
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.0%
93.8%
93.8%
96.5%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.8%
100.0%
98.6%
93.5%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Pneumococcal Vaccine
30.0%
37.5%
46.9%
40.2%
Q1 2015Q2 2015Q3 2015KS
Low Risk Residents Who Lose Control of Their Bowel or Bladder
19.7%
21.4%
21.7%
19.9%
Q1 2015Q2 2015Q3 2015KS
Received an Antipsychotic Medication
33.9%
18.3%
26.7%
17.5%
Q1 2015Q2 2015Q3 2015KS
Need for Help with ADLs has Increased
18.5%
27.7%
20.5%
11.0%
Q1 2015Q2 2015Q3 2015KS
Self Report Moderate to Severe Pain
20.8%
15.5%
11.8%
7.4%
Q1 2015Q2 2015Q3 2015KS
Lose Too Much Weight
8.3%
6.5%
4.7%
5.3%
Q1 2015Q2 2015Q3 2015KS
High Risk Residents With Pressure Ulcers
14.1%
8.5%
14.1%
7.1%
Q1 2015Q2 2015Q3 2015KS
Have Depressive Symptoms
2.6%
7.0%
4.4%
6.6%
Q1 2015Q2 2015Q3 2015KS
With a Urinary Tract Infection
5.2%
4.2%
8.6%
5.0%
Q1 2015Q2 2015Q3 2015KS
Experiencing One or More Falls with Major Injury
7.7%
3.8%
7.7%
3.0%
Q1 2015Q2 2015Q3 2015KS
With a Catheter Inserted and Left in Their Bladder
1.3%
1.4%
1.4%
0.3%
Q1 2015Q2 2015Q3 2015KS
Were Physically Restrained

Quality Measures for Short Stay Residents

87.5%
89.3%
80.0%
77.6%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Pneumococcal Vaccine
95.7%
91.7%
91.7%
77.9%
Q1 2015Q2 2015Q3 2015KS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
14.8%
21.2%
Q1 2015Q2 2015Q3 2015KS
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
10.0%
0.0%
2.7%
Q1 2015Q2 2015Q3 2015KS
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
3.2%
2.9%
2.6%
1.5%
Q1 2015Q2 2015Q3 2015KS
With Pressure Ulcers That Are New or Worsened