HOLDREGE MEMORIAL HOMES, INC
Address
1320 11TH AVENUE
HOLDREGE, NE 68949
(308) 995-8631
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 82
- Certified Beds: 85
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Holdrege Memorial Homes, Inc. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 6-10 | 3.0% |
Total Percent: | 3.0% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 11.4% |
ADL Index Range: 6-10 | 11.8% |
ADL Index Range: 0-5 | 18.3% |
Total Percent: | 41.4% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 20.5% |
ADL Index Range: 6-10 | 12.9% |
ADL Index Range: 0-5 | 16.3% |
Total Percent: | 49.8% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5 - No Signs of depression | 1.9% |
Total Percent: | 1.9% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5 - No Signs of depression | 3.8% |
Total Percent: | 3.8% |
Rating Details For Holdrege Memorial Homes, Inc
Nursing Staff -
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
Nursing Hours Per Resident Per Day | Reported | Expected |
Registered Nurse (RN) Hours | 45 Minutes | 1 Hour and 11 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 34 Minutes | 41 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 30 Minutes | 2 Hours and 24 Minutes |
Total Licensed Nurse Hours | 1 Hour and 18 Minutes | 1 Hour and 52 Minutes |
Total Nurse Hours | 3 Hours and 49 Minutes | 4 Hours and 16 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Nebraska are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | Nebraska Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Long-Term Stay Deficiencies
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 7% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 34% | 47% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 11% | 12% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 12% | 14% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 12% | 8% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 12% | 8% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 3% | 7% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 14% | 19% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 89% | 89% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 1% | 23% |
Percent of Short-Stay Residents Who Have Pressure Sores | 3% | 9% |
Percent of Short-Stay Residents Who Have Delirium | - | 4% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/16/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Keep Temperature Levels Comfortable and Safe.
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Have a Program to Keep Infection from Spreading.
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Keep Sound Levels Comfortable.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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Quality Care
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Resident Assessment
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Holdrege Memorial Homes, Inc had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/23/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Restrictions on the Use of Highly Flammable Materials.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Vertical Openings
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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