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Premier Estates Of Fremont, LLC

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About Premier Estates Of Fremont, LLC

General Information

Legal Business NamePremier Estates Of Fremont LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareJanuary 7, 1991 (26 years)
Capacity147
Residents82
Percent Occupied56%
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 Premier Estates Of Fremont, LLC

Premier Estates Of Fremont, LLC
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Nebraska Nursing Homes

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

Note that this facility has changed ownership within the past 12 months.

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

October 26, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth 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.

October 20, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
FManyPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

April 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaintEnsure 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.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

January 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 35 days
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintEnsure 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.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaint1) 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 HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintDevelop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.

October 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

October 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Premier Estates Of Fremont, LLC 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.

1hr 40min
2hr 10min
ReportedExpected
CNA
45min
35min
ReportedExpected
LPN
20min
55min
ReportedExpected
RN
2hr 45min
3hr 40min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

27.2%
27.3%
28.0%
96.5%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Seasonal Influenza Vaccine
77.2%
73.7%
58.8%
93.9%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Pneumococcal Vaccine
42.1%
32.8%
20.0%
46.0%
Q1 2015Q2 2015Q3 2015NE
Low Risk Residents Who Lose Control of Their Bowel or Bladder
33.0%
31.8%
32.5%
20.4%
Q1 2015Q2 2015Q3 2015NE
Received an Antipsychotic Medication
13.6%
22.0%
14.5%
15.9%
Q1 2015Q2 2015Q3 2015NE
Need for Help with ADLs has Increased
13.5%
15.7%
4.9%
11.2%
Q1 2015Q2 2015Q3 2015NE
Self Report Moderate to Severe Pain
11.1%
17.9%
7.1%
7.2%
Q1 2015Q2 2015Q3 2015NE
Lose Too Much Weight
12.1%
12.3%
5.3%
4.1%
Q1 2015Q2 2015Q3 2015NE
High Risk Residents With Pressure Ulcers
14.1%
17.6%
7.4%
6.1%
Q1 2015Q2 2015Q3 2015NE
Have Depressive Symptoms
3.3%
2.1%
1.2%
6.0%
Q1 2015Q2 2015Q3 2015NE
With a Urinary Tract Infection
2.2%
2.1%
1.2%
4.9%
Q1 2015Q2 2015Q3 2015NE
Experiencing One or More Falls with Major Injury
3.5%
2.6%
4.7%
4.2%
Q1 2015Q2 2015Q3 2015NE
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.3%
Q1 2015Q2 2015Q3 2015NE
Were Physically Restrained

Quality Measures for Short Stay Residents

27.0%
31.1%
46.0%
80.8%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Pneumococcal Vaccine
39.1%
38.7%
38.2%
81.1%
Q1 2015Q2 2015Q3 2015NE
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
15.9%
15.4%
-
20.7%
Q1 2015Q2 2015Q3 2015NE
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
3.3%
1.8%
0.0%
2.3%
Q1 2015Q2 2015Q3 2015NE
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015NE
With Pressure Ulcers That Are New or Worsened