HARVARD REST HAVEN
Address
P O BOX 546, 400 EAST 7TH STREET
HARVARD, NE 68944
(402) 772-7591
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: 33
- Certified Beds: 37
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
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 Harvard Rest Haven. 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 |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 6-10 | 15.4% |
| Total Percent: | 15.4% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 30.8% |
| Total Percent: | 30.8% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 12.8% |
| ADL Index Range: 6-10 | 24.8% |
| Total Percent: | 37.6% |
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 | 16.2% |
| Total Percent: | 16.2% |
Rating Details For Harvard Rest Haven
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 | 53 Minutes | 1 Hour and 2 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 37 Minutes | 38 Minutes |
| Certified Nursing Assistant (CNA) Hours | 3 Hours | 2 Hours and 34 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 30 Minutes | 1 Hour and 41 Minutes |
| Total Nurse Hours | 4 Hours and 31 Minutes | 4 Hours and 14 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 Low-Risk Long-Stay Residents Who Have Pressure Sores | 7% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 16% | 19% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 15% | 8% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 3% |
| 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 Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 12% | 8% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 2% | 7% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 58% | 47% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 7% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 14% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | - | 4% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 9% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 29% | 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 09/16/2010.
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
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have Enough Backup Water Supply for Important Areas of the Nursing Home.
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Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Nutrition and Dietary
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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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.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Resident Assessment
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
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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 Harvard Rest Haven 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 09/22/2010.
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.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Exits and Egress
Exits That Are Accessible at All Times.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Restrictions on the Use of Highly Flammable Materials.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Medical Gases and Anesthetizing Areas
No-Smoking Signs Where Oxygen is Used.
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Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
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