3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Harvard, NE
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
400 East 7th Street, Harvard, NE
(402) 772-7591
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
30
Certified beds
Average residents
19
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2006-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.77
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.33
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
5.06
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
4.34
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.86
CMS adjusted RN staffing hours
Adjusted total hours
5.69
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
44%
Annual nurse turnover · state 49% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 4.55% |
8.2%
3.6 pts worse
|
Numerator 2 · Denominator 44 |
| Staff flu vaccination coverage | 69.77% |
42%
27.8 pts better
|
Numerator 30 · Denominator 43 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.1 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.0
1.3 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.8%
7.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.5%
4.5 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
4.4%
3 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
5.3%
1.9 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.9% |
19.5%
8.4 pts worse
|
19.6%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 36.2% |
21.6%
14.6 pts worse
|
16.7%
19.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.3%
0.3 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.0% |
20.4%
13.4 pts better
|
16.3%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.0% |
19.9%
14.9 pts better
|
14.9%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.0% |
1.6%
3.4 pts worse
|
1.0%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.6% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.7% |
2.9%
4.8 pts worse
|
1.7%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.8% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.0% |
26.6%
2.4 pts worse
|
19.8%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.0% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
4.3%
1.8 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 4.9% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.0% |
80.5%
6.5 pts better
|
81.7%
5.3 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 87.0% |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-03-20
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-03-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-10
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-21
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-03-21
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-02-24
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-02-24
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-24
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-02-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-24
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-02-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-02-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-24
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-20
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-03-20
Health
Assess the resident when there is a significant change in condition
Corrected 2024-03-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-24
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-02-24
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-02-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-02-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Security Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Individual
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