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Homestead Nursing & Rehabilitation Center

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About Homestead Nursing & Rehabilitation Center

General Information

Legal Business NameHomestead Nursing And Rehabilitation Center LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 3, 1975 (42 years)
Capacity173
Residents141
Percent Occupied82%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Homestead Nursing & Rehabilitation Center

Homestead Nursing & Rehabilitation Center
was reviewed by Medicare to have a rating of 3 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

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

January 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for 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 HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

January 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
FManyPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.

February 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly constructed linen or trash chutes.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionProper backup exit lighting.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
FManyPotential for HarmFire Safety InspectionA separate and independent backup electrical power source.
FManyPotential for HarmFire Safety InspectionProperly protected cooking facilities.
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
FManyPotential for HarmFire Safety InspectionFire resistant interior walls.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionFire resistant room wall surfaces.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionExit stairways and towers that are smoke proof.
ESomePotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.
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.

January 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Homestead Nursing & Rehabilitation Center 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.

2hr 20min
2hr 20min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
3hr 55min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.5%
98.5%
96.5%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.3%
91.5%
84.2%
93.9%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Pneumococcal Vaccine
47.8%
29.8%
25.0%
46.0%
Q1 2015Q2 2015Q3 2015NE
Low Risk Residents Who Lose Control of Their Bowel or Bladder
25.6%
21.0%
18.3%
20.4%
Q1 2015Q2 2015Q3 2015NE
Received an Antipsychotic Medication
24.0%
9.2%
17.3%
15.9%
Q1 2015Q2 2015Q3 2015NE
Need for Help with ADLs has Increased
8.7%
15.0%
8.3%
11.2%
Q1 2015Q2 2015Q3 2015NE
Self Report Moderate to Severe Pain
11.5%
13.5%
10.5%
7.2%
Q1 2015Q2 2015Q3 2015NE
Lose Too Much Weight
9.0%
4.9%
3.0%
4.1%
Q1 2015Q2 2015Q3 2015NE
High Risk Residents With Pressure Ulcers
1.7%
1.0%
0.0%
6.1%
Q1 2015Q2 2015Q3 2015NE
Have Depressive Symptoms
7.1%
1.9%
2.6%
6.0%
Q1 2015Q2 2015Q3 2015NE
With a Urinary Tract Infection
2.4%
2.8%
2.6%
4.9%
Q1 2015Q2 2015Q3 2015NE
Experiencing One or More Falls with Major Injury
8.0%
5.8%
8.3%
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

65.2%
61.1%
49.3%
80.8%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Pneumococcal Vaccine
67.2%
62.4%
62.4%
81.1%
Q1 2015Q2 2015Q3 2015NE
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
37.1%
21.5%
13.4%
20.7%
Q1 2015Q2 2015Q3 2015NE
Self Report Moderate to Severe Pain
4.4%
6.5%
4.3%
2.3%
Q1 2015Q2 2015Q3 2015NE
Newly Received an Antipsychotic Medication
1.2%
3.2%
3.5%
1.6%
Q1 2015Q2 2015Q3 2015NE
With Pressure Ulcers That Are New or Worsened