CAMBRIDGE MANOR (CAMBRIDGE, NE) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.510
Nebraska:	0.754

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

Here:	0.840
State:	0.781

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.340
State:	1.534

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.050
Nebraska:	0.061

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.050
Nebraska:	0.069

Use of Medical Imaging

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

Here:	4.800%
Nebraska:	9.790%

Complaint Deficiency

Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Properly protected cooking facilities
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A properly equipped laboratory for handling hazardous materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- 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: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- 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
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: Some
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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- 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: Many
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Restrictions on the use of flammable curtains
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- 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
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
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

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	3%
Nebraska:	3%

Usually

Here:	20%
Nebraska:	16%

Always

This Nursing Home:	77%
Nebraska:	81%

How often did doctors communicate well with patients?

Usually

This Nursing Home:	8%
State:	14%

Always

This Nursing Home:	92%
Nebraska:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	7%
State:	5%

Usually

This Nursing Home:	23%
State:	23%

Always

This Nursing Home:	70%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	2%
State:	4%

Usually

Here:	26%
Nebraska:	25%

Always

This Nursing Home:	72%
State:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	12%
State:	15%

Usually

Here:	24%
State:	21%

Always

This Nursing Home:	64%
Nebraska:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	4%
Nebraska:	6%

Usually

Here:	15%
State:	16%

Always

This Nursing Home:	81%
Nebraska:	78%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	9%
State:	7%

Usually

Here:	32%
Nebraska:	30%

Always

This Nursing Home:	59%
State:	63%

Were patients given information about what to do during their recovery at home?

Yes

Here:	82%
State:	87%

This Nursing Home:	18%
State:	13%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	4%
State:	5%

7 or 8

This Nursing Home:	17%
Nebraska:	21%

9 or 10

Here:	79%
Nebraska:	74%

Would patients recommend the hospital to friends and family?

Here:	3%
Nebraska:	2%

Yes, probably

Here:	17%
Nebraska:	23%

Yes, definitely

Here:	80%
State:	75%

Process of Care

Heart Failure

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

Here:	38.0%
State:	97.3%

Pneumonia

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

Here:	91.0%
State:	97.3%

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

This Nursing Home:	92.0%
State:	94.1%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	82.0%
Nebraska:	93.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	77.0%
Nebraska:	93.9%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.1%
Nebraska:	12.4%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	9.7%
State:	12.3%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	23.2%
State:	24.4%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	16.2%
State:	18.4%

CAMBRIDGE MANOR - CAMBRIDGE, NE

Staff Information

Use of Medical Imaging

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Failure

Pneumonia

Outcome of Care

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