Inspection Results: HOMESTEAD NURSING & REHABILITATION CENTER

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HOMESTEAD NURSING & REHABILITATION CENTER

4735 SOUTH 54TH STREET, Lincoln, Nebraska 68516, (402) 488-0977

Inspection Results: January 11, 2008
Type	Corrected	Category	Severity	Deficiency
Fire Safety	02/11/2008	Hazardous Area Deficiencies	Minimal harm or potential for actual harm	construction that can resist fire for one hour or an approved fire extinguishing system.
Fire Safety	03/15/2008	Electrical Deficiencies	Minimal harm or potential for actual harm	properly installed electrical wiring and equipment.
Inspection Results: November 19, 2007
Type	Corrected	Category	Severity	Deficiency
Health	01/03/2008	Environmental Deficiencies	Minimal harm or potential for actual harm	Have a program to keep infection from spreading.
Health	01/03/2008	Environmental Deficiencies	Minimal harm or potential for actual harm	Provide clean bed and bath linens that are in good condition.
Health	01/03/2008	Resident Assessment Deficiencies	Minimal harm or potential for actual harm	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Health	01/03/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that meet a professional standard of quality.
Health	01/03/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Health	01/03/2008	Administration Deficiencies	Minimal harm or potential for actual harm	Keep accurate and appropriate medical records.
Health	01/03/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that a resident does not become withdrawn, angry or depressed if these problems did not exist before.
Health	01/03/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
Health	01/03/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.
Health	01/03/2008	Environmental Deficiencies	Minimal harm or potential for actual harm	Make sure that staff members wash their hands when needed.
Health	01/03/2008	Environmental Deficiencies	Minimal harm or potential for actual harm	Make sure that the nursing home area is safe, easy to use, clean and comfortable.
Health	01/03/2008	Pharmacy Service Deficiencies	Minimal harm or potential for actual harm	Properly mark drugs and other similar products.
Health	01/03/2008	Environmental Deficiencies	Minimal harm or potential for actual harm	Provide needed housekeeping and maintenance.
Health	01/03/2008	Resident Rights Deficiencies	Minimal harm or potential for actual harm	Provide services to meet the needs and preferences of each resident.
Health	01/03/2008	Mistreatment Deficiencies	Minimal harm or potential for actual harm	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
Inspection Results: April 19, 2007
Type	Corrected	Category	Severity	Deficiency
Fire Safety	No Issues Reported
Health	06/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Health	06/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Health	06/03/2007	Environmental Deficiencies	Minimal harm or potential for actual harm	Have a program to keep infection from spreading.
Health	06/03/2007	Administration Deficiencies	Minimal harm or potential for actual harm	Keep accurate and appropriate medical records.
Health	06/03/2007	Resident Assessment Deficiencies	Minimal harm or potential for actual harm	Make a complete assessment that covers all questions for areas that are listed in official regulations.
Inspection Results: November 02, 2006
Type	Corrected	Category	Severity	Deficiency
Fire Safety	No Issues Reported
Health	01/04/2007	Quality Care Deficiencies	Actual harm	Give each resident care and services to get or keep the highest quality of life possible.
Health	01/04/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.
Health	01/04/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	offer Flu or Pneumococal vaccine to some residents.
Health	01/04/2007	Environmental Deficiencies	Minimal harm or potential for actual harm	Provide needed housekeeping and maintenance.
Health	01/04/2007	Mistreatment Deficiencies	Minimal harm or potential for actual harm	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.
Health	01/04/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give each resident enough fluids to keep them healthy and prevent dehydration.
Health	01/04/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that meet a professional standard of quality.
Health	01/04/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Health	01/04/2007	Environmental Deficiencies	Minimal harm or potential for actual harm	Have a program to keep infection from spreading.
Health	01/04/2007	Pharmacy Service Deficiencies	Minimal harm or potential for actual harm	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Health	01/04/2007	Resident Rights Deficiencies	Minimal harm or potential for actual harm	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.
Health	01/04/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
Health	01/04/2007	Pharmacy Service Deficiencies	Minimal harm or potential for actual harm	Properly mark drugs and other similar products.
Health	01/04/2007	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Provide food in a way that meets a resident's needs.
Health	01/04/2007	Resident Rights Deficiencies	Minimal harm or potential for actual harm	Provide services to meet the needs and preferences of each resident.

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