SKYLINE NURSING AND REHABILITATION

Nursing Home Inspector

7350 GRACELAND DRIVE
OMAHA, NE 68134
Douglas County
Phone: 402-572-5750
Provider Number: 285238
Last Inspection: 09/06/2016

About the Nursing Home

Number of Beds: 100
Number of Residents: 60
Beds Available: 40
Percent Occupancy: 60%
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

 

46

Facility
24

County
20

NE
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

46

2016
14

2015
25

2014

Medicare Ratings

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

 

Details by Inspection Date

9/6/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/2/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 9/27/2016
 
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 9/27/2016
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Minimal 5 9/27/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 9/27/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 9/27/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 9/27/2016
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 9/22/2016
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 9/27/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread : Minimal 5 9/27/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/27/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 9/27/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 9/27/2016
 

9/28/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/30/2015
 
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Pattern : Minimal 4 10/30/2015
 
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 10/30/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/30/2015
 

9/25/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/22/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/22/2014
 
Failed To: 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. Isolated : Minimal 3 10/22/2014
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 10/22/2014
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 10/22/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/22/2014
 
Failed To: Ensure 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. Isolated : Minimal 3 10/22/2014
 

Complaint Investigation Deficiencies

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

1/10/2017 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 2/6/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 2/6/2017
 

2/9/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 3/14/2016
 

11/10/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 12/9/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NE State Avg
Number of Residents 60 92.52 53.60
Registered Nurses 0.79 0.90 0.76
Licensed Practical / Vocational Nurses 0.51 0.81 0.68
Certified Nursing Assistants 2.78 2.52 2.49
Total Staff Hours 4.08 4.23 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 3 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 94 92 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 93 96
of long-stay residents experiencing one or more falls with major injury 2 3 4
of long-stay residents who have depressive symptoms 2 4 5
of long-stay residents who lose too much weight 7 7 7
of long-stay residents who received an antianxiety or hypnotic medication 15 18 21
of long-stay residents who received an antipsychotic medication 11 14 18
of long-stay residents who self-report moderate to severe pain 12 10 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 27 19 19
of long-stay residents whose need for help with daily activities has increased 17 14 15
of long-stay residents with a catheter inserted and left in their bladder 1 3 2
of long-stay residents with a urinary tract infection 1 4 5
of low risk long-stay residents who lose control of their bowels or bladder 55 48 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 69 83 83
of short-stay residents who had an outpatient emergency department visit 18 10 8
of short-stay residents who made improvements in function 82 72 75
of short-stay residents who newly received an antipsychotic medication 3 1 2
of short-stay residents who self-report moderate to severe pain 11 19 19
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 86 80 80
of short-stay residents who were rehospitalized after a nursing home admission 29 21 17
of short-stay residents who were successfully discharged to the community 65 58 56
of short-stay residents with pressure ulcers that are new or worsened 1 0 1