MILLER MEMORIAL CARE CENTER

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 03/02/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/02/2011 Correction Date: 04/16/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 02/03/2010 Correction Date: 03/20/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/02/2011 Correction Date: 04/16/2011
Keep Sound Levels Comfortable. Inspection Date: 03/02/2011 Correction Date: 04/16/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/02/2011 Correction Date: 04/16/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/16/2009 Correction Date: 05/31/2009

Nutrition and Dietary

Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident. Inspection Date: 02/03/2010 Correction Date: 03/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/03/2010 Correction Date: 03/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/02/2011 Correction Date: 04/16/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
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: 03/02/2011 Correction Date: 04/16/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/02/2011 Correction Date: 04/16/2011
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 03/02/2011 Correction Date: 04/16/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/02/2011 Correction Date: 04/16/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
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: 04/16/2009 Correction Date: 05/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/16/2009 Correction Date: 05/31/2009
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: 04/16/2009 Correction Date: 05/31/2009
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: 02/03/2010 Correction Date: 03/20/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/03/2010 Correction Date: 03/20/2010
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: 02/03/2010 Correction Date: 03/20/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/02/2011 Correction Date: 04/16/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 02/03/2010 Correction Date: 03/20/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/02/2011 Correction Date: 04/16/2011

The table below lists incident reports by the nursing staff or administration for Miller Memorial Care Center, as well as complaints by residents or their family in the previous three years.

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 02/03/2010 Correction Date: 03/20/2010

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 Miller Memorial 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 03/03/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/03/2010 Correction Date: 03/10/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/03/2010 Correction Date: 02/03/2010
Approved Construction Type or Materials. Inspection Date: 03/03/2011 Correction Date: 05/04/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/20/2009 Correction Date: 07/01/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/03/2010 Correction Date: 03/22/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/03/2011 Correction Date: 03/03/2011

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 04/20/2009 Correction Date: 07/31/2009