Contract Nursing Home Exclusion Review

Part of the initial review for contracting and part of the annual review.

Name of Nursing Home SIDNEY CARE AND REHABILITATION CENTER, LLC
Address 1435 TOLEDO STREET
SIDNEY NE, 69162
Telephone
Six Digit Provider Number 285113

A. Deficiencies

Rating (G-L) Program Requirements Corrected Date Current Survey Date
H Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 04/20/2018 03/06/2018
H Provide safe, appropriate pain management for a resident who requires such services. 04/20/2018 03/06/2018
H Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 04/20/2018 03/06/2018
H Administer the facility in a manner that enables it to use its resources effectively and efficiently. 04/20/2018 03/06/2018
H Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 04/20/2018 03/06/2018
H Have a plan that describes the process for conducting QAPI and QAA activities. 04/20/2018 03/06/2018
Deficiency Count: 6
Section Rating: FAIL

*Facility fails if there are three level "G" or worse deficiencies in the current survey.

B. Health Requirement Deficiencies

Current Number at Facility State Average
Total Health Requirement Deficiencies: 32 6.0
Section Rating: FAIL

Health Requirement Deficiencies: (The total number of health requirements deficiencies cannot be more than twice the State average in the current survey.)

C. RN Hours

RN Hours Current Average at Facility State Average
RN Hours per Resident Day: 0.00 0.72
Section Rating: FAIL

* Program requirement: Fail if less than state average

D. Total Nursing Staff

Total Nursing Staff Current Average at Facility State Average
Total Nursing Staff Hours per resident Day: 0.0 4.02
Section Rating: FAIL

* Program requirement: Fail if less than state average

E. Quality Measures

NOTE:

Although the Centers for Medicare and Medicaid Services (CMS) has released 24 Quality Measures, current VHA guidelines indicate that the following 18 Quality Measures be used to determine Pass/Fail for Section G of the review.

Quality Measures Facility Percent State Average Flagged
Percentage of high risk long-stay residents with pressure ulcers 0% 2.7%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 0% 85.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 0% 90.9%
Percentage of long-stay residents experiencing one or more falls with major injury 0% 4.3%
Percentage of long-stay residents who have depressive symptoms 0% 4.3%
Percentage of long-stay residents who lose too much weight 0% 6.2%
Percentage of long-stay residents who received an antipsychotic medication 0% 16%
Percentage of long-stay residents who self-report moderate to severe pain 0% 6.8%
Percentage of long-stay residents who were physically restrained 0% 0.1%
Percentage of long-stay residents whose need for help with daily activities has increased 0% 13.7%
Percentage of long-stay residents with a catheter inserted and left in their bladder 0% 2.3%
Percentage of long-stay residents with a urinary tract infection 0% 4.6%

* A facility fails when six or more of the CMS Quality Measures listed below in Nursing Home Compare fall above the state average.
N.A.= contact home, data not submitted N.S. = contact home, numbers too small