LITZENBERG MEMORIAL COUNTY HOSPITAL LONG TERM CARE

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 03/31/2011.

Environmental

Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 02/23/2009 Correction Date: 04/09/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/25/2010 Correction Date: 04/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/25/2010 Correction Date: 04/11/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/31/2011 Correction Date: 05/16/2011

Mistreatment

1) Hire Only People Who Have 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. Inspection Date: 02/25/2010 Correction Date: 04/11/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/25/2010 Correction Date: 04/11/2010
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 03/31/2011 Correction Date: 05/16/2011

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. Inspection Date: 03/31/2011 Correction Date: 05/16/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/31/2011 Correction Date: 05/16/2011

Quality Care

Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 02/25/2010 Correction Date: 04/11/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/31/2011 Correction Date: 05/16/2011
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 03/31/2011 Correction Date: 05/16/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 02/23/2009 Correction Date: 04/09/2009
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 02/25/2010 Correction Date: 04/11/2010

The table below lists incident reports by the nursing staff or administration for Litzenberg Memorial County Hospital Long Term Care, as well as complaints by residents or their family in the previous three years.

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Complaint Filed: 02/23/2009 Correction Date: 04/09/2009

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 02/23/2009 Correction Date: 04/09/2009

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 Litzenberg Memorial County Hospital Long Term Care 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 03/31/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/23/2010 Correction Date: 04/20/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/31/2011 Correction Date: 05/25/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 02/18/2009 Correction Date: 03/24/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/18/2009 Correction Date: 03/12/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/23/2010 Correction Date: 04/20/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/31/2011 Correction Date: 05/25/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/18/2009 Correction Date: 03/23/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/23/2010 Correction Date: 04/20/2010
Exits That Are Accessible at All Times. Inspection Date: 03/31/2011 Correction Date: 05/25/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 02/23/2010 Correction Date: 04/20/2010

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 02/23/2010 Correction Date: 04/20/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 02/18/2009 Correction Date: 03/31/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/31/2011 Correction Date: 05/25/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/31/2011 Correction Date: 05/25/2011