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Nebraska City Care And Rehabilitation Center, LLC

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Reviews
Overall Rating 3.0 / 5.0 ★★★★★

  • ★★★★★ 3 months ago

    I want out off here. My sister brought me to Nebraska. We had a follwing out, and don't speak. Now I'm stuck here in a place where I don't want to be, and don't know anyone. The staff is good and friendly. However, the people here are loud, obnicous, talk all the time (constantly), etc. I've talked to the Social Director (Dana) 3 weeks ago about moving and NOTHING has been done. No updates, "I've called this/that place, etc...NOTHING! If you are thinking about this place, don't. You'll be disappointed.

  • ★★★★★ 5 months ago

About Nebraska City Care And Rehabilitation Center, LLC

General Information

Legal Business NameNebraska City Care And Rehabilitation Center LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareJune 25, 1991 (26 years)
Capacity64
Residents46
Percent Occupied72%
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 Nebraska City Care And Rehabilitation Center, LLC

Nebraska City Care And Rehabilitation Center, LLC
was reviewed by 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

November 2, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

January 11, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$8,483 fine
---Payment DenialPayment denial for 1 days
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
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+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+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.
ESomePotential 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 HarmComplaint+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+InspectionProvide residents with private access to a telephone.
DFewPotential for HarmComplaint+InspectionGive notice to the resident before a room or roommate change.

September 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure 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 HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

April 30, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
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 HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

December 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
HSomeActual HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
HSomeActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmHealth InspectionEmploy staff that are licensed, certified, or registered in accordance with state laws.
FManyPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
FManyPotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
FManyPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
ESomePotential for HarmHealth 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.
ESomePotential for HarmComplaint+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.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
CManyPotential for Minimal HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
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.
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Nebraska City Care And Rehabilitation Center, 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 55min
2hr 10min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
20min
55min
ReportedExpected
RN
3hr 10min
3hr 40min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

95.8%
93.8%
93.8%
93.8%
96.4%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
91.1%
100.0%
100.0%
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.6%
75.0%
45.0%
45.0%
46.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of low risk long-stay residents who lose control of their bowels or bladder
39.5%
30.8%
22.2%
23.5%
21.7%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who received an antianxiety or hypnotic medication
32.4%
23.4%
32.8%
12.0%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents whose ability to move independently worsened
52.8%
47.1%
42.4%
35.5%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who received an antipsychotic medication
25.6%
38.5%
13.9%
20.6%
15.8%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents whose need for help with daily activities has increased
20.7%
17.5%
24.0%
11.2%
10.9%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who self-report moderate to severe pain
4.2%
4.5%
16.7%
12.5%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who lose too much weight
3.8%
12.5%
8.7%
4.5%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of high risk long-stay residents with pressure ulcers
2.3%
23.8%
9.8%
5.6%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who have depressive symptoms
6.2%
13.6%
7.1%
5.0%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents with a urinary tract infection
6.2%
2.2%
2.3%
2.5%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
2.7%
0.0%
0.0%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

66.7%
-
100.0%
97.4%
82.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.8%
-
-
-
79.4%
Q4 2015Q1 2016Q2 2016Q3 2016NE
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
73.0%
Q4 2015Q1 2016Q2 2016Q3 2016NE
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
20.3%
Q4 2015Q1 2016Q2 2016Q3 2016NE
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
-
0.0%
0.0%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016NE
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened



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