Gretna Care Center
700 Highway 6, Gretna NE 68028 · (402) 332-3446 · 89.68% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Gretna Care Center is a small facility located in Gretna, Nebraska. This nursing home proved to be an A+ rated facility, which is our most impressive rating. Based on our analysis, this place is really as good as it gets. Lastly, this nursing home's ownership changed in the last year, so we will need to monitor it to confirm it maintains its high level of care.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 63 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
One of the many reasons this turned out to be a great nursing home is that it received an A+ long-term care grade. This is simply as good as it gets in this category. Long-term care ratings of this caliber generally require both 24/7 care from nurses and aids, as well as quality routine medical care. In addition to looking at the volume of care provided by aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility gave the vaccine to 100 percent of its patients, which is significantly higher than the average nursing home. Finally, we looked at the nursing home's number of hospitalizations. Here we found that this nursing home had 2.46 hospitalizations per one thousand long-term resident days.
Facility Inspections
Adding to an already impressive profile, this facility also received virtually flawless health inspections in recent years. As a result, we awarded it an A+ inspection grade. Our inspection ratings are based on items located in the a nursing home's recent inspections. Facilities that receive favorable grades in this area tend to have few deficiencies on their reports. Most importantly, these nursing homes generally do not have any severe deficiencies which are associated with endangerment of patients. While this facility had some deficiencies on its inspection report, none of them were serious based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Nurse Quality
Adding to its impressive resume, this nursing home also excelled in our nursing category. In fact, we awarded it a grade of A for that category. Our nursing score looks at the nursing home's level of nurse staffing. We factor in both the levels of training of the nurses and the number of hours spent with patients. This nursing home provides 3.5 hours of nursing care per resident per day. Lastly, we also looked at some quality-based measures in this category. This facility fared well in some of the quality-based metrics we assessed. By way of illustration, in terms of the percentage of its patients suffering from pressure ulcers, this facility performed better than the national average. This is generally an indicator that a nursing home has reliable quality controls in place. Pressure ulcers can often be prevented with better nursing care.
Short-term Care Quality
Turning to the next category, this facility also excelled in the short-term care category. We awarded it a B+ in that category. This topped off a very impressive report card. Our short-term care scores are considered to be more critical for patients needing rehabilitation services. Rehabilitation typically requires more skilled nursing. Skilled nursing includes not merely nursing, but also physical and respiratory therapy, as well as other types of therapy. This nursing home provides more services with physical therapists and registered nurses than most nursing homes we looked at. This is usually a favorable sign. Lastly, we considered the number of residents who returned to the community from this nursing home. We found that it performed decently in this area, with 48.5 percent of its patients able to return home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Gretna Care Center Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of residents that suffered from a pressure ulcer. Pressure ulcers are damage to the skin resulting from staying in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric gauges the percent of long-term stay patients who experienced falls leading to severe injury. Falls can arise for a variety of reasons, but excessive numbers of falls may be an indication of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percentage of patients who sustained a urinary tract infection. UTI's are considered by many experts to be an indicator of the quality of nursing care . UTI's are often associated with poor nursing care. Nevertheless, this datapoint could be misleading for certain facilities due to inconsistent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents prescribed antipsychotic drugs. Antipsychotic drugs are administered to patients for a variety of conditions, such as dementia. Tragically, in some cases, high levels of antipsychotic drug use may suggest a facility is using these medications to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of long-term stay residents taking antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percent of long-term stay residents who are exhibiting signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percent of long-term care patients that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percent of patients who needed increased assistance with activities of daily living over time. High levels of needing for assistance with ADL's may indicate decline of a resident's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percent of residents who maintained mobility over time. Preserving mobility can be a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of times residents are hospitalized per thousand days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of times residents are sent to the emergency room per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percentage of short-term residents who saw functional improvements, such as with activities of daily living. High levels of autonomy with ADL's often correlates with higher quality rehabilitation.
Percentage of Resident
Higher is Better