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Premier Estates Of Pierce, LLC

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About Premier Estates Of Pierce, LLC

General Information

Legal Business NamePremier Estates Of Pierce, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 1994 (23 years)
Capacity75
Residents39
Percent Occupied52%
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 Premier Estates Of Pierce, LLC

Premier Estates Of Pierce, LLC
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 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

October 31, 2016 - 8 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.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

August 30, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
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.

July 27, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

September 10, 2015 - 2 years ago

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

June 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmComplaint+InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
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+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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.
ESomePotential 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 HarmComplaint+InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

September 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaintListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

August 6, 2014 - 3 years ago

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

2hr 30min
2hr 20min
ReportedExpected
CNA
45min
35min
ReportedExpected
LPN
55min
60min
ReportedExpected
RN
4hr 10min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 1min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

91.8%
97.5%
97.5%
97.5%
96.4%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.3%
77.8%
83.8%
77.1%
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
62.5%
59.1%
61.5%
59.1%
46.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of low risk long-stay residents who lose control of their bowels or bladder
35.3%
33.3%
28.6%
25.8%
21.7%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who received an antianxiety or hypnotic medication
22.7%
17.8%
18.3%
19.3%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents whose ability to move independently worsened
21.4%
14.8%
25.0%
19.2%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who received an antipsychotic medication
9.1%
21.2%
11.4%
12.9%
15.8%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents whose need for help with daily activities has increased
3.0%
2.7%
2.1%
0.0%
10.9%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who self-report moderate to severe pain
8.3%
5.6%
0.0%
2.9%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who lose too much weight
4.0%
3.8%
0.0%
4.2%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of high risk long-stay residents with pressure ulcers
8.8%
8.8%
5.4%
5.9%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who have depressive symptoms
2.8%
0.0%
0.0%
2.9%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
2.7%
2.9%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents experiencing one or more falls with major injury
2.9%
2.9%
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
8.3%
5.6%
2.7%
2.9%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016NE
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

70.8%
69.2%
-
100.0%
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
62.1%
69.6%
69.6%
69.6%
79.4%
Q4 2015Q1 2016Q2 2016Q3 2016NE
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
4.1%
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