Fullerton Care and Rehabilitation Center
PO Box 648, 202 North Esther, Fullerton NE 68638 · (308) 536-2488 · 76.4% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Fullerton Care and Rehabilitation Center is a facility located in Fullerton, Nebraska, which has a total of 1,749 people. It looks like this facility is a relatively poor nursing home. A grade of this caliber suggests we found a few red flags. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Fullerton. If you aren't deterred by this nursing home's profile, feel free to continue reading to learn more about its category scores. We discuss inspections in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 75 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While this nursing home's overall score was not a highlight, it actually really excelled in the area of inspections. In fact, we awarded it an A+ for that area, which is one of our highest scores. Inspection ratings take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. Although this place had some deficiencies on its government inspection report, none were major deficiencies based on CMS' scale. A few minor deficiencies aren't the end of the world.
Nurse Quality
We awarded this facility a respectable grade in the area of nursing as well, with a grade of C. Our nursing rating is largely associated with the nursing home's nurse staffing. This nursing home provides 3.2 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Lastly, despite not having the highest total nursing hours, this nursing home actually performed admirably in the metric of preventing major falls. This is generally a good indicator that a nursing home has sufficient quality controls in place.
Long-term Care Quality
We gave this nursing home a grade of just D for our long-term care grade. This is well below average in this category. When nursing homes receive a score in this range in long-term care it generally means the nursing home did not perform well in our quality measures relating to resident care. On top of assessing the amount of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated for pneumonia. We discovered that this facility gave the vaccine to a relatively low 78.08219 percent of its residents, which is several points lower than we expected. To our surprise, this nursing home was actually able to limit hospitalizations. With just 1.02 hospitalizations per 1,000 long-term resident days, this facility has fewer hospitalizations than the majority of nursing homes. This was its best feature in this category.
Short-term Care Quality
Switching gears to our next category, this nursing home really didn't perform well here either. With a very poor grade of F in short-term care, this is really as bad as it gets. In calculating our short-term care scores, we analyze the facility's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of skilled professionals. The goal is to devise a scale for sizing up the rehabilitation services of various nursing homes. Not surprisingly, we found that this nursing home provides far less physical therapist and registered nurse hours per resident than the average facility. The final item we considered in this area is the number of residents who returned home from the facility. This nursing home struggled quite a bit in this area as well, with just 20.9 percent of its patients returning home. This was well below the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Fullerton Care and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers, also known as bed sores, are often the result of residents not being moved frequently enough. Better nursing care can limit the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint gauges the percent of long-term residents which sustained falls leading to severe injury. Falls can happen for a variety of reasons, but high rates of major falls could be an indicator of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This metric is a measure of the percent of long-term patients who had a urinary tract infection. Although more of these infections could reflect poorly on a nursing home's nursing care, it can be difficult to compare between facilities due to differing reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients given antipsychotic drugs. While antipsychotic medications may be vital to many patients, it is important to ensure these drugs are being used appropriately. In limited cases, excessive reliance on these medications may suggest that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were prescribed antianxiety medications. These drugs are used to treat patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of patients who are exhibiting signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of patients that received the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric is a measure of the percent of long-term patients who needed more assistance with activities of daily living over time. ADL's include activities such as dressing and bathing.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint is a measure of the percent of long-term care patients who were able to retain mobility. Many in the industry believe that the ability to move around is critical to residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Keeping residents out of the hospital is important to maintaining the physical health of residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of rehospitalizations per 1,000 days of short-term resident care. Keeping residents out of the hospital during rehabilitation is important to restoring the health of residents.
Percentage of Residents Rehospitalized
Lower is Better