MONTCLAIR NURSING AND REHABILITATION CENTER
The information listed below provides an in-depth look into the type and quality of care offered at Montclair Nursing and Rehabilitation 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
MONTCLAIR NURSING AND REHABILITATION CENTER
2525 SOUTH 135TH AVENUE
OMAHA, NE 68144
(402) 333-2304
2525 SOUTH 135TH AVENUE
OMAHA, NE 68144
(402) 333-2304
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
91%Number of Residents and Certified Beds
- Residents: 159
- Certified Beds: 175
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Only Resident Counseling
- This Facility is 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 "Ultra-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 Montclair Nursing and Rehabilitation Center. 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 |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- 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: 11-16 | 2.2% |
| ADL Index Range: 2-10 | 8.9% |
| Total Percent: | 11.1% |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- 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: 11-16 | 1.3% |
| ADL Index Range: 2-10 | 3.4% |
| Total Percent: | 4.7% |
High Rehabilitation Plus Extensive Services
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- 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: 11-16 | 1.3% |
| Total Percent: | 1.3% |
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 | 1.5% |
| Total Percent: | 1.5% |
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: 11-16 | 6.6% |
| ADL Index Range: 6-10 | 17.0% |
| ADL Index Range: 0-5 | 24.5% |
| Total Percent: | 48.1% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.0% |
| ADL Index Range: 6-10 | 5.3% |
| ADL Index Range: 0-5 | 9.5% |
| Total Percent: | 17.7% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 1.6% |
| ADL Index Range: 6-10 | 1.4% |
| ADL Index Range: 0-5 | 0.8% |
| Total Percent: | 3.8% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 6-10 | 1.0% |
| ADL Index Range: 0-5 | 3.1% |
| Total Percent: | 4.1% |
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 - Tracheostomy care or ventilator/respirator | 0.3% |
| ADL Index Range: 2-16 - Isolation for active infectious disease | 3.3% |
| Total Percent: | 3.7% |
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 | 0.4% |
| ADL Index Range: 2-5 - No Signs of depression | 0.3% |
| Total Percent: | 0.8% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - No Signs of depression | 1.1% |
| Total Percent: | 1.1% |
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: 6-10 - No Signs of depression | 0.2% |
| ADL Index Range: 2-5 - No Signs of depression | 0.5% |
| ADL Index Range: 0-1 - No Signs of depression | 0.7% |
| Total Percent: | 1.4% |
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: 2-5 - Less restorative nursing | 0.3% |
| Total Percent: | 0.3% |
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 | 0.4% |
| ADL Index Range: 2-5 - Less restorative nursing | 0.05% |
| Total Percent: | 0.4% |
Rating Details For Montclair Nursing and Rehabilitation 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 36 Minutes | 1 Hour and 16 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 46 Minutes | 41 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 3 Minutes | 2 Hours and 23 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 22 Minutes | 1 Hour and 57 Minutes |
| Total Nurse Hours | 3 Hours and 25 Minutes | 4 Hours and 20 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 Lose Too Much Weight | 11% | 7% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 18% | 8% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 14% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 10% | 19% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 9% | 12% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 9% | 7% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 3% |
| 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 | 10% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 39% | 47% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 2% | 4% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 7% | 9% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 38% | 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 03/03/2011.
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 |
Administration
Keep Accurate and Appropriate Medical Records.
|  |  |
Set Up or Keep a Group of People to Review and Ensure Quality.
| |  |
Environmental
Provide Needed Housekeeping and Maintenance.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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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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Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
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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
Provide Activities to Meet the Needs of Each Resident.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
|  | |
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
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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.
| | |
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.
| | |
Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Denial of Payment for New Admission (DPNA) | 11/18/2009 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Montclair Nursing and Rehabilitation 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 Complaints | Degree of Harm | Residents Affected |
Administration
Quickly Tell the Resident's Doctor the Results of Lab Tests.
| | |
Have Licensed, Certified, or Registered Staff to Give Needed Services.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Provide Needed Housekeeping and Maintenance.
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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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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| |  |
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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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.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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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.
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Resident Rights
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.
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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.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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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 Montclair Nursing and Rehabilitation 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 02/28/2011.
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 |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
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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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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Portable Fire Extinguishers.
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Building Construction
Approved Construction Type or Materials.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Properly Protected Cooking Facilities.
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Restrictions on the Use of Portable Space Heaters.
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Properly Protected Cooking Facilities.
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Properly Constructed Linen or Trash Chutes.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block 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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A Separate and Independent Backup Electrical Power Source.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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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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A Fire Alarm System That Can Be Heard Throughout the Facility.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Restrictions on the Use of Flammable Curtains.
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Exits That Are Free from Obstructions and Can Be Used at All Times.
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Properly Sized and Located Linen or Trash Receptacles.
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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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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Properly Located and Lighted "Exit" Signs.
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Proper Backup Exit Lighting.
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Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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No-Smoking Signs Where Oxygen is Used.
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Proper Medical Gas Storage and Administration Areas.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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Proper Stairway Enclosures and Vertical Shafts.
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Proper Stairway Enclosures and Vertical Shafts.
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Source: Medicare Nursing Home Compare; Health and Human Services of Nebraska - Regulation and Licensure Credentialing Division - Retrieved 2011
