HAMILTON MANOR

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

HAMILTON MANOR
1515 5TH STREET
AURORA, NE 68818
(402) 694-2128

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

57%

Number of Residents and Certified Beds

Residents: 61
Certified Beds: 107

This Facility Accepts

Medicare
Medicaid

Operational Details

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

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Nearby Cities:

Henderson | Central City | Harvard

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 Hamilton Manor. 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

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-10	5.9%
Total Percent:	5.9%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	5.9%
ADL Index Range: 6-10	13.2%
Total Percent:	19.1%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	20.2%
ADL Index Range: 6-10	11.8%
ADL Index Range: 0-5	5.9%
Total Percent:	37.9%

Extensive Services

Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-16 - Isolation for active infectious disease	5.1%
Total Percent:	5.1%

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 - Signs of depression	3.7%
ADL Index Range: 2-5 - No Signs of depression	1.1%
Total Percent:	4.8%

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: 15-16 - No Signs of depression	8.5%
ADL Index Range: 6-10 - No Signs of depression	5.1%
Total Percent:	13.6%

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: 15-16 - Less restorative nursing	5.1%
ADL Index Range: 6-10 - Less restorative nursing	3.7%
ADL Index Range: 0-1 - Less restorative nursing	4.8%
Total Percent:	13.6%

Rating Details For Hamilton Manor

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	52 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	42 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 54 Minutes	2 Hours and 18 Minutes
Total Licensed Nurse Hours	1 Hour and 11 Minutes	1 Hour and 30 Minutes
Total Nurse Hours	3 Hours and 5 Minutes	3 Hours and 48 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 Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	13%	14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	14%	12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	51%	47%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	7%	8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	3%	4%
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	-	4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	3%	7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	2%	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	1%	7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	16%	19%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	72%	89%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90%	90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	8%	9%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	20%	23%
Percent of Short-Stay Residents Who Have Delirium	8%	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 04/26/2011.

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 Inspectors

Degree of Harm

Residents Affected

Environmental

Provide Needed Housekeeping and Maintenance.

Inspection Date: 03/25/2010
Correction Date: 05/09/2010

Nutrition and Dietary

Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them.

Inspection Date: 04/26/2011
Correction Date: 06/10/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/09/2009 Correction Date: 03/26/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/09/2009 Correction Date: 03/26/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/25/2010 Correction Date: 05/09/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 03/25/2010 Correction Date: 05/09/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 02/09/2009 Correction Date: 03/26/2009
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: 03/25/2010 Correction Date: 05/09/2010
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: 03/25/2010 Correction Date: 05/09/2010

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 02/09/2009 Correction Date: 03/26/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/26/2011 Correction Date: 06/10/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Hamilton Manor, 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