GARDEN COUNTY HOSPITAL & NURSING HOME
Address
1100 WEST 2ND
OSHKOSH, NE 69154
(308) 772-3283
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
95%Number of Residents and Certified Beds
- Residents: 38
- Certified Beds: 40
This Facility Accepts
- Medicaid
Operational Details
- Operated By Government - City/County
- Offers Only Resident Counseling
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
Rating Details For Garden County Hospital & 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 29 Minutes | 58 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 35 Minutes | 42 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 23 Minutes | 2 Hours and 14 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 4 Minutes | 1 Hour and 40 Minutes |
| Total Nurse Hours | 3 Hours and 27 Minutes | 3 Hours and 54 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 Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 39% | 47% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 12% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 6% | 8% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 8% | 8% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 10% | 14% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 7% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 16% | 19% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 7% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 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 11/09/2010.
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 |
Environmental
Provide Needed Housekeeping and Maintenance.
|  |  |
Have Enough Outside Airflow.
| | |
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
| | |
Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
Properly Mark Drugs and Other Similar Products.
| |  |
Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
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.
|  | |
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
| | |
Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| | |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Garden County Hospital & 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 Complaints | Degree of Harm | Residents Affected |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
| | |
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
| | |
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 Garden County Hospital & 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 11/03/2010.
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
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| |  |
Portable Fire Extinguishers.
| | |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| | |
Electrical
Properly Installed Electrical Wiring and Equipment.
| | |
Weekly Inspections and Monthly Testing of Generators.
| | |
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
| | |
Exits and Egress
Large Enough Exits.
| | |
Exits That Are Accessible at All Times.
| | |
Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
| | |
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
| | |
Proper Medical Gas Storage and Administration Areas.
| | |
