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Legacy Garden Rehabilitation & Living Center

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About Legacy Garden Rehabilitation & Living Center

General Information

Legal Business NamePender Care Centre District Inc
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 1, 1996 (21 years)
Capacity42
Residents36
Percent Occupied86%
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 Legacy Garden Rehabilitation & Living Center

Legacy Garden Rehabilitation & Living 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

June 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

June 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Legacy Garden Rehabilitation & Living 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 15min
2hr 15min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
40min
45min
ReportedExpected
RN
3hr 40min
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
94.6%
94.6%
96.5%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.9%
97.1%
100.0%
93.9%
Q1 2015Q2 2015Q3 2015NE
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
46.0%
Q1 2015Q2 2015Q3 2015NE
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
21.9%
22.9%
25.0%
20.4%
Q1 2015Q2 2015Q3 2015NE
Received an Antipsychotic Medication
-
-
-
15.9%
Q1 2015Q2 2015Q3 2015NE
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
11.2%
Q1 2015Q2 2015Q3 2015NE
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
9.4%
5.7%
8.6%
7.2%
Q1 2015Q2 2015Q3 2015NE
Lose Too Much Weight
-
-
-
4.1%
Q1 2015Q2 2015Q3 2015NE
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
3.3%
3.1%
2.8%
6.1%
Q1 2015Q2 2015Q3 2015NE
Have Depressive Symptoms
12.5%
5.7%
5.7%
6.0%
Q1 2015Q2 2015Q3 2015NE
With a Urinary Tract Infection
9.4%
5.7%
5.6%
4.9%
Q1 2015Q2 2015Q3 2015NE
Experiencing One or More Falls with Major Injury
-
-
-
4.2%
Q1 2015Q2 2015Q3 2015NE
* The data for this facility for some quarters is unavailable.
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

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