CLOVERLODGE CARE CENTER

Nursing Home Inspector

301 NORTH 13TH STREET
SAINT EDWARD, NE 68660
Boone County
Phone: 402-678-2294
Provider Number: 285201
Last Inspection: 12/06/2016

About the Nursing Home

Number of Beds: 55
Number of Residents: 34
Beds Available: 21
Percent Occupancy: 62%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

15

Facility 		7

County 		20

NE 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
15

2016		 4

2015		 36

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

12/6/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Isolated : Minimal 3 12/30/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 12/30/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/30/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/30/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/30/2016
 

11/24/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Minimal 4 12/10/2015
 

8/27/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 10/10/2014
 
Failed To: 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. Widespread : Minimal 5 10/10/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 10/10/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/10/2014
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 10/10/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 10/10/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 10/10/2014
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 10/10/2014
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 10/10/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

2/16/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/14/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NE State Avg
Number of Residents 34 42.00 53.60
Registered Nurses 0.60 0.64 0.76
Licensed Practical / Vocational Nurses 0.84 0.67 0.68
Certified Nursing Assistants 2.38 2.54 2.49
Total Staff Hours 3.81 3.85 3.93

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NE State Avg%
of high risk long-stay residents with pressure ulcers 1 2 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 96
of long-stay residents experiencing one or more falls with major injury 6 6 4
of long-stay residents who have depressive symptoms 8 6 5
of long-stay residents who lose too much weight 8 6 7
of long-stay residents who received an antianxiety or hypnotic medication 13 14 21
of long-stay residents who received an antipsychotic medication 14 16 18
of long-stay residents who self-report moderate to severe pain 8 8 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 21 19
of long-stay residents whose need for help with daily activities has increased 13 14 15
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 7 4 5
of low risk long-stay residents who lose control of their bowels or bladder 67 58 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 83 83 83
of short-stay residents who self-report moderate to severe pain 30 Not Available   8
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 91 75
of short-stay residents with pressure ulcers that are new or worsened 0 2 2