BLUE VALLEY LUTHERAN NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Blue Valley Lutheran Nursing Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

BLUE VALLEY LUTHERAN NURSING HOME
P O BOX 166, 220 PARK AVENUE
HEBRON, NE 68370
(402) 768-3900

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 58
  • Certified Beds: 64

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Deshler | Fairbury | Edgar

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 Blue Valley Lutheran Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.9%
Total Percent:4.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1638.0%
ADL Index Range: 6-104.3%
ADL Index Range: 0-510.3%
Total Percent:52.7%
 

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: 15-16
- No Signs of depression
5.4%
Total Percent:5.4%
 

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: 11-14
- No Signs of depression
4.9%
ADL Index Range: 2-5
- No Signs of depression
1.1%
Total Percent:6.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
13.6%
ADL Index Range: 2-5
- Less restorative nursing
7.6%
ADL Index Range: 0-1
- Less restorative nursing
9.8%
Total Percent:31.0%
 

Rating Details For Blue Valley Lutheran Nursing Home

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 DayReportedExpected
Registered Nurse (RN) Hours21 Minutes43 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes32 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 20 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 15 Minutes1 Hour and 15 Minutes
Total Nurse Hours3 Hours and 35 Minutes3 Hours and 37 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 FacilityNebraska Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious22%19%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder57%47%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight5%7%
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 Increased15%14%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain3%23%
Percent of Short-Stay Residents Who Have Pressure Sores6%9%
Percent of Short-Stay Residents Who Have Delirium6%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 03/03/2011.

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 InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/28/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/03/2011
  • Correction Date: 04/01/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/03/2011
  • Correction Date: 04/01/2011

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/28/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/03/2011
  • Correction Date: 04/01/2011

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: 10/27/2008
  • Correction Date: 12/11/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/03/2011
  • Correction Date: 04/01/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/28/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/28/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/03/2011
  • Correction Date: 04/01/2011

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.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 10/27/2008
  • Correction Date: 12/11/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/28/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 03/03/2011
  • Correction Date: 04/01/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/15/2009
  • Correction Date: 01/28/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Blue Valley Lutheran Nursing Home, as well as complaints by residents or their family in the previous three years.

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
Formal ComplaintsDegree of HarmResidents Affected

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 10/27/2008
  • Correction Date: 12/11/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 12/15/2009
  • Correction Date: 01/28/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 12/15/2009
  • Correction Date: 01/28/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 03/03/2011
  • Correction Date: 04/01/2011

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 Blue Valley Lutheran Nursing Home 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 03/07/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/06/2010
  • Correction Date: 01/06/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/17/2008
  • Correction Date: 01/02/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/06/2010
  • Correction Date: 01/08/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 01/06/2010
  • Correction Date: 02/20/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/07/2011
  • Correction Date: 03/07/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/17/2008
  • Correction Date: 01/23/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/06/2010
  • Correction Date: 02/01/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/07/2011
  • Correction Date: 03/15/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/06/2010
  • Correction Date: 01/06/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/17/2008
  • Correction Date: 11/17/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 03/07/2011
  • Correction Date: 03/07/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 01/06/2010
  • Correction Date: 01/06/2010

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 11/17/2008
  • Correction Date: 12/22/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/06/2010
  • Correction Date: 01/08/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 11/17/2008
  • Correction Date: 11/17/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/17/2008
  • Correction Date: 11/17/2008
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 11/17/2008
  • Correction Date: 12/22/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 01/06/2010
  • Correction Date: 01/07/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 11/17/2008
  • Correction Date: 01/23/2009
Fire-Resistant Interior Walls.
  • Inspection Date: 01/06/2010
  • Correction Date: 02/20/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 01/06/2010
  • Correction Date: 01/18/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/17/2008
  • Correction Date: 01/23/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 11/17/2008
  • Correction Date: 01/23/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 11/17/2008
  • Correction Date: 12/09/2008
Source: Medicare Nursing Home Compare; Health and Human Services of Nebraska - Regulation and Licensure Credentialing Division - Retrieved 2011