CHIMNEY ROCK VILLA

The information listed below provides an in-depth look into the type and quality of care offered at Chimney Rock Villa. 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

CHIMNEY ROCK VILLA
P O BOX A, 106 EAST 13TH STREET
BAYARD, NE 69334
(308) 586-1142

Nursing Home Ratings

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

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 42
  • Certified Beds: 49

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - City
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Bridgeport | Scottsbluff | Mitchell

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 "Very High 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 Chimney Rock Villa. 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

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-162.0%
Total Percent:2.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1027.0%
ADL Index Range: 0-542.0%
Total Percent:69.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.7%
Total Percent:4.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.7%
ADL Index Range: 6-104.0%
ADL Index Range: 0-57.0%
Total Percent:15.7%
 

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: 6-10
- No Signs of depression
2.7%
ADL Index Range: 2-5
- No Signs of depression
0.7%
Total Percent:3.3%
 

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: 0-1
- No Signs of depression
5.3%
Total Percent:5.3%
 

Rating Details For Chimney Rock Villa

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) Hours39 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours44 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 32 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 34 Minutes
Total Nurse Hours4 Hours and 55 Minutes3 Hours and 60 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 Whose Need for Help with Daily Activities Has Increased20%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder32%47%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%19%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse26%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder10%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores-7%
Percent of Long-Stay Residents Who Lose Too Much Weight6%7%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores-9%
Percent of Short-Stay Residents Who Have Delirium13%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%23%

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 08/19/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/14/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/14/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/13/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Keep Sound Levels Comfortable.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/14/2008
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: 09/30/2009
  • Correction Date: 11/13/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/13/2009
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: 08/19/2010
  • Correction Date: 10/01/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/14/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/13/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/02/2008
  • Correction Date: 11/14/2008
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: 10/02/2008
  • Correction Date: 11/14/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/13/2009
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: 09/30/2009
  • Correction Date: 11/13/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010
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: 08/19/2010
  • Correction Date: 10/01/2010

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.
  • Inspection Date: 08/19/2010
  • Correction Date: 10/01/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Chimney Rock Villa, 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

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 02/16/2010
  • Correction Date: 04/01/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/16/2010
  • Correction Date: 04/01/2010

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 Chimney Rock Villa 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 08/23/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/28/2009
  • Correction Date: 11/13/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/23/2010
  • Correction Date: 10/01/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/28/2009
  • Correction Date: 11/13/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 08/23/2010
  • Correction Date: 10/15/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/28/2009
  • Correction Date: 11/13/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/28/2009
  • Correction Date: 11/13/2009
Source: Medicare Nursing Home Compare; Health and Human Services of Nebraska - Regulation and Licensure Credentialing Division - Retrieved 2011