JENNIE M MELHAM MEDICAL CENTER (BROKEN BOW, NE) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	8.6%
State:	14.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	2.4%
State:	6.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	14.4%
Nebraska:	5.5%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.9%
Nebraska:	7.3%

Percent of long-stay residents who have depressive symptoms

Here:	20.0%
Nebraska:	8.0%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	12.2%
State:	4.1%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	97.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	95.9%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	31.6%
State:	22.6%

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper exit design
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Protect each resident from all abuse, physical punishment, and being separated from others
- Harm: Minimal harm or potential for actual harm
- Scope: 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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.030
State:	0.754

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.700
Nebraska:	0.781

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.720
State:	1.534

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	100.0%
State:	97.3%

Percent of Patients Given Discharge Instructions

This Nursing Home:	87.0%
State:	93.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Nursing Home:	85.0%
State:	97.3%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	83.0%
State:	94.1%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
Nebraska:	93.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	79.0%
State:	93.9%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.8%
Nebraska:	12.4%

30-Day Mortality Rates from Pneumonia

Here:	12.1%
Nebraska:	12.3%

30-Day Readmission Rates from Heart Failure

Here:	25.9%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	20.9%
State:	18.4%

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

This Nursing Home:	24.800%
Nebraska:	9.790%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.037%
Nebraska:	0.126%

Outpatient CT scans of the chest that were combination (double) scans.

This Nursing Home:	0.031%
Nebraska:	0.033%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

This Nursing Home:	4.900%
State:	5.403%

JENNIE M MELHAM MEDICAL CENTER - BROKEN BOW, NE