GENOA COMMUNITY HOSPITAL/LTC

Nursing Home Inspector

P O BOX 310, 606/706 EWING AVENUE
GENOA, NE 68640
Nance County
Phone: 402-993-2283
Provider Number: 28E271
Last Inspection: 09/08/2016

About the Nursing Home

Number of Beds: 39
Number of Residents: 33
Beds Available: 6
Percent Occupancy: 85%
Insurance Accepted: Medicaid
Types of Councils: Resident
Ownership: Government - City/county
Within Hospital?: YES

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

 

0

Facility
12

County
20

NE
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2016
16

2015
15

2014

Medicare Ratings

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

 

Details by Inspection Date

7/1/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Minimal 5 8/15/2015
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Minimal 5 8/15/2015
 
Failed To: 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. Isolated : Minimal 3 8/15/2015
 
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 8/15/2015
 

6/5/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated : Minimal 3 7/14/2014
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/14/2014
 
Failed To: 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. Isolated : Minimal 3 7/14/2014
 
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 7/14/2014
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 7/14/2014
 

Complaint Investigation Deficiencies

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

5/17/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Pattern : Minimal 4 6/14/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NE State Avg
Number of Residents 33 47.50 53.60
Registered Nurses 0.70 0.60 0.76
Licensed Practical / Vocational Nurses 0.33 0.45 0.68
Certified Nursing Assistants 2.27 2.21 2.49
Total Staff Hours 3.31 3.26 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 4 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 97 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 98 96
of long-stay residents experiencing one or more falls with major injury 0 1 4
of long-stay residents who have depressive symptoms 11 8 5
of long-stay residents who lose too much weight 9 5 7
of long-stay residents who received an antianxiety or hypnotic medication 32 30 21
of long-stay residents who received an antipsychotic medication 39 38 18
of long-stay residents who self-report moderate to severe pain 15 17 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 45 29 19
of long-stay residents whose need for help with daily activities has increased 22 19 15
of long-stay residents with a catheter inserted and left in their bladder 0 3 2
of long-stay residents with a urinary tract infection 2 2 5
of low risk long-stay residents who lose control of their bowels or bladder 51 41 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 54 62 83
of short-stay residents who self-report moderate to severe pain 19 4 8
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89 Not Available   75
of short-stay residents with pressure ulcers that are new or worsened 5 20 2