Cozad Care and Rehabilitation Center is a small nursing home located in Cozad, Nebraska. We gave this facility an overall grade of C. A grade of this caliber requires some respectable marks. You can certainly do worse than this nursing home. This nursing home did not excel in every category we looked at, but it did not receive any rock-bottom grades either. Additional information about its category grades is available below.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 67 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: TrueA checkmark indicating true.

Medical Staff Hours Per Patient (2019)

Less:
More:
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

B+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

While this nursing home earned a decent overall score, its inspections grade is notably better than its overall score. Due to a strong government inspection report this year, it received a strong score in that area with a grade of B+. Our inspection grades are based on pieces of information located in the a nursing home's recent inspection reports. Facilities that score well in this category have very few deficiencies on their reports. Most importantly, these nursing homes generally do not have any severe deficiencies which are associated with endangerment of patients. This facility was assessed 5 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered to be major deficiencies. This indicates that the government inspectors didn't deem any of these deficiencies to be an imminent threat to resident safety or health. A couple minor deficiencies shouldn't stop you from considering a nursing home.

Nurse Quality

B+
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: BFeb 19: BMay 19: A-Jun 19: A-Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: CMar 20: CApr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

One of the other reasons we rated this facility so highly is that it received a very impressive nursing rating. Nursing turned out to be its second best category grade. In that area, we gave this facility an B+. When determining our nursing scores, we look at both the number of hours nurses spend with residents and the levels of licensure of those nurses. This particular nursing home provided 4.1 hours of nursing care per resident per day, which was above the national average. Finally, we also factored some quality-based metrics into our nursing grades. This facility was relatively weak in several of the statistics we assess, with below average figures for minimizing its patients' pressure ulcers and major falls.

Short-term Care Quality

C
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: CMay 19: DJun 19: DJul 19: CAug 19: CSep 19: CJan 20: DMar 20: DApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

This facility's third most favorable area is its short-term care grade, where it was awarded a grade of C. Short-term care scores are based in part on the facility's quantity of highly-skilled nursing services. This means a broad scope of nursing services, spanning from registered nurses to physical and occupational therapists, not to mention other forms of therapy. We were pleased to find that this nursing home employs both registered nurses and physical therapists. The same can't be said for all nursing homes. The final measure we looked at in this category is the number of patients who were able to leave the nursing home and return to the community. We discovered that just 26 percent of this facility's residents were able to return home, which is actually below average.

Long-term Care Quality

D
Oct 18: DNov 18: DDec 18: DJan 19: BFeb 19: BMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: DAug 20: D
Historical

The next category we rated is long-term care, which was a low point for this nursing home. We awarded this facility a grade of just D for the area of long-term care. In a long-term care environment, the primary goal is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate patients. On top of assessing the quantity of care provided by nurses aids and other staff, we analyzed the percentage of residents vaccinated against pneumonia. This facility provided the vaccine to 98.55769 percent of its patients. To our surprise, this nursing home also keeps its residents out of the hospital. Indeed, it had just 1.11 hospitalizations per 1,000 long-term resident days. Unfortunately, a few of its other scores in this category weren't as favorable as these.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
C
State:
B+
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Cozad Care and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

This tells you the percentage of residents that suffered from a pressure ulcer. Pressure ulcers are damage to the skin resulting from remaining in one position for too long.

Provider
B-
8.09%
State
B+
5.81%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This figure tells you the percent of long-term residents which suffered a fall leading to major injury. This is one of the statistics we use in calculating our nursing ratings.

Provider
C
4.33%
State
B-
4.73%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percentage of residents who sustained a urinary tract infection. UTI's are considered by many in the nursing home industry to be a measure of the quality of nursing care . UTI's are often caused by a facility with lower levels of hygiene. Nevertheless, this metric could be skewed for certain nursing homes due to varying reporting standards for infections.

Provider
F
7.25%
State
B-
3.93%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This metric tells you the percent of long-term residents which are given antipsychotic medication. Excessive reliance on these medications may mean a facility is using these drugs to subdue residents in scenarios where such medications aren't medically indicated. However, some facilities need to rely on these drugs due to having more residents with cognitive disorders.

Provider
F
36.17%
State
B-
16.76%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This is the percentage of residents who were given antianxiety drugs. These drugs are given to residents experiencing anxiety or depression.

Provider
B-
22.46%
State
B+
18.39%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This datapoint measures the percent of long-term residents who are showing signs of depression.

Provider
B-
3.59%
State
B
3.86%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This datapoint measures the percentage of long-term care patients that were vaccinated against pneumonia and flu.

Provider
C
95.25%
State
B
93.69%
National
B
92.02%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This datapoint is a measure of the percentage of long-term stay patients who needed more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and bathing.

Provider
A-
10.81%
State
B
15.01%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This is the percentage of residents who maintained mobility over time. Optimizing mobility is usually a great sign for residents' health.

Provider
B+
18.92%
State
B+
18.83%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric measures the number of times residents are hospitalized per thousand days of patient care.

Provider
A-
1.19
State
B
1.64
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This is the number of rehospitalizations per 1,000 days of short-term care.

Provider
B-
18.92
State
B-
18.83
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This metric tracks the number of times residents are sent to the emergency room per thousand days of short-term patient care.

Provider
B
10.04
State
B+
7.95
National
B
10.26

Percentage of Patients
Lower is Better

Nearby Hospitals

Gothenburg Memorial Hospital 9.81 mi
910 20th St Gothenburg Nebraska 69138
(308) 537-3661
Critical Access Hospitals
Government - Hospital District or Authority