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Kearney County Health Services

Details

Type of Ownership Government - County
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 34
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 07/14/2011

Date of last standard health inspection: 07/14/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 6
Average number of Health Deficiencies in NE: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in NE: 0 - 11
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2012 00/02/2002 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 01/09/2012 00/02/2002 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 01/09/2012 00/02/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/09/2012 00/02/2002 3 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/09/2012 00/02/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/09/2012 00/02/2002 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/09/2011

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2011 02/03/2012 2 Few

Inspection, 02/07/2009

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/07/2009 02/01/2010 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 00/01/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/01/2008 01/05/2011 1 Many
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/01/2008 01/05/2011 3 Some
Operate and provide services according to Federal, State, and local laws and professional standards. 00/01/2008 01/05/2009 2 Many
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe 00/01/2008 01/05/2009 2 Many
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 00/01/2008 01/05/2009 2 Many
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 00/01/2008 01/05/2009 2 Many
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 00/01/2008 01/05/2009 2 Many
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 00/01/2008 01/05/2009 2 Many
Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. 00/01/2008 01/05/2009 2 Many
Help the resident with transportation to and from laboratory services outside of the facility. 00/01/2008 01/05/2009 2 Many
1) Give or get tests or x-rays that meet hospital requirements; or 2) to obtain an agreement for these services from an approved provider or supplier. 00/01/2008 01/05/2009 2 Many
Help the resident in making transportation arrangements to and from radiology services. 00/01/2008 01/05/2009 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/01/2008 01/05/2009 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/01/2008 01/05/2011 3 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/01/2008 01/05/2009 2 Some
Maintain comfortable sound levels. 00/01/2008 01/05/2009 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2008 01/05/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/01/2008 01/05/2009 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 00/01/2008 01/05/2009 2 Few
1) 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. 00/01/2008 01/05/2009 2 Many
Develop 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. 00/01/2008 01/05/2009 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 00/01/2008 01/05/2009 2 Some
Ensure that residents are safe from serious medication errors. 00/01/2008 01/05/2009 4 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/01/2008 01/05/2009 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/01/2008 01/05/2009 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2008 01/05/2009 3 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2008 01/05/2009 4 Some
Ensure 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. 00/01/2008 01/05/2009 3 Some
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/01/2008 01/05/2011 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/01/2008 01/05/2009 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/01/2008 01/05/2009 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/01/2008 01/05/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/01/2008 01/05/2009 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2008 01/05/2009 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2008 01/05/2009 2 Some
Conduct initial and periodic assessments of each resident's functional capacity. 00/01/2008 01/05/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/01/2008 01/05/2009 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/01/2008 01/05/2009 2 Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/01/2008 01/05/2009 2 Some
Provide proof that residents' personal money that is deposited with the nursing home is secure. 00/01/2008 01/05/2009 2 Some
Try to resolve each resident's complaints quickly. 00/01/2008 01/05/2009 2 Few
Allow residents to self-administer drugs if determined safe. 00/01/2008 01/05/2009 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 00/01/2008 01/05/2009 2 Few

Inspection, 01/04/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/04/2007 01/06/2008 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/04/2007 01/06/2008 2 Some
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/04/2007 01/06/2008 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/04/2007 01/06/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/04/2007 01/06/2008 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/04/2007 01/06/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 01/04/2007 01/06/2008 1 Many

Inspection, 00/05/2005

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/05/2005 01/05/2006 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in NE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 58 30
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 14 hours 17 minutes 2 hours 13 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 13 hours 31 minutes 55 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 13 hours 30 minutes 1 hour 17 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 17 minutes 3 hours

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 07/18/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 07/18/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in NE: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in NE: 0 - 0

Inspection, 00/01/2008

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/01/2008 01/05/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/01/2008 00/07/2008 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Horizontal exits. 00/01/2008 01/06/2008 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/01/2008 01/05/2008 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly constructed piped-in oxygen systems. 00/01/2008 01/06/2009 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/01/2008 01/04/2008 2 Some

Inspection, 01/08/2007

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/08/2007 01/09/2007 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/08/2007 01/09/2007 2 Many

Inspection, 01/01/2005

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 01/01/2005 01/01/2005 2 Many
Approved construction type or materials. 01/01/2005 01/01/2005 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/01/2005 01/02/2005 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/01/2005 01/01/2005 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/01/2005 01/02/2005 2 Some
 

727 East 1st Street
Minden, NE 68959

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