TIFFANY SQUARE CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Tiffany Square Care Center. 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

TIFFANY SQUARE CARE CENTER
3119 WEST FAIDLEY AVENUE
GRAND ISLAND, NE 68803
(308) 384-2333

Nursing Home Ratings

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

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 92
  • Certified Beds: 103

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Wood River | Aurora | St Paul

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 Tiffany Square Care Center. 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

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: 2-100.4%
Total Percent:0.4%
 

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: 11-166.3%
ADL Index Range: 6-105.4%
ADL Index Range: 0-512.8%
Total Percent:24.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.4%
ADL Index Range: 6-105.9%
ADL Index Range: 0-534.6%
Total Percent:42.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.9%
ADL Index Range: 6-109.9%
ADL Index Range: 0-56.4%
Total Percent:18.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.7%
ADL Index Range: 6-105.6%
ADL Index Range: 0-55.6%
Total Percent:12.8%
 

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: 2-5
- No Signs of depression
0.2%
Total Percent:0.2%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.6%
Total Percent:0.6%
 

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: 6-10
- Less restorative nursing
1.4%
Total Percent:1.4%
 

Rating Details For Tiffany Square Care Center

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) Hours23 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours34 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 6 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours57 Minutes1 Hour and 47 Minutes
Total Nurse Hours4 Hours and 3 Minutes4 Hours and 5 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 Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder29%47%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%14%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%19%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%8%

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 Had Moderate to Severe Pain34%23%
Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Have Pressure Sores10%9%

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 05/06/2010.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/29/2008
  • Correction Date: 03/14/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 01/29/2008
  • Correction Date: 03/14/2008
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 01/29/2008
  • Correction Date: 03/14/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/29/2008
  • Correction Date: 03/14/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/03/2009
  • Correction Date: 04/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/03/2009
  • Correction Date: 04/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/20/2010

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: 03/03/2009
  • Correction Date: 04/17/2009
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: 05/06/2010
  • Correction Date: 06/20/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/20/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/20/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/29/2008
  • Correction Date: 03/14/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 01/29/2008
  • Correction Date: 03/14/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 03/03/2009
  • Correction Date: 04/17/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/03/2009
  • Correction Date: 04/17/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/20/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/20/2010

Resident Assessment

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: 03/03/2009
  • Correction Date: 04/17/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/20/2010
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: 05/06/2010
  • Correction Date: 06/20/2010

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: 05/06/2010
  • Correction Date: 06/20/2010
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: 05/06/2010
  • Correction Date: 06/20/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Tiffany Square Care Center, 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: 10/20/2008
  • Correction Date: 12/01/2008
Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/20/2010

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 Tiffany Square Care Center 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 05/05/2010.

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

Portable Fire Extinguishers.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/18/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/29/2008
  • Correction Date: 02/23/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/18/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/02/2009
  • Correction Date: 04/17/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/02/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 01/29/2008
  • Correction Date: 02/23/2008
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/20/2009
Source: Medicare Nursing Home Compare; Health and Human Services of Nebraska - Regulation and Licensure Credentialing Division - Retrieved 2011