With an address in Neligh, Nebraska, Neligh Care and Rehabilitation Center is the sole option we identified in this city. This turns out to be a decent facility, with an overall grade of B-. This nursing home has a few things going for it. The best part of this facility's report card was its exemplary inspection rating. Inspection reports are discussed in the next paragraph.
Neligh Care and Rehabilitation Center
Updated May 1, 2022 by Sara Levinsohn
PO Box 66, 1100 North T Street,
Neligh NE 68756
50.42% estimated occupancy 1
Registered Staff Hours
The primary reason this facility received a decent overall grade is its impeccable government inspections in recent years. We awarded it one of our better grades in that area, with an A. This is a much better score than the facility's overall grade, which was decent but certainly not elite. Inspection scores are based on several pieces of information located in the a nursing home's recent inspection reports. Facilities that receive favorable grades in this category have few deficiencies on those reports. Most importantly, these places should not have any severe deficiencies which are associated with endangerment of patients. Although this place had a few deficiencies on its report, none were severe based on CMS' scale. We should point out that deficiency-free inspections are rare in the industry.
This nursing home also received a strong grade in our nursing category. We awarded this nursing home an above average grade of B in this area. In determining our nursing ratings, we look at both staffing levels and the training levels of those nurses. This facility provided 2.9 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can typically be avoided if more nurses aids and better safety protocols are in place.
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Long-term Care Quality
Another one of this facility's more impressive category grades was in the category of long-term care. In that category, we awarded this facility a grade of B. Facilities that receive this kind of grade in this category typically provide consistent around the clock care to make sure residents are well cared for. One of the criteria we considered after nursing hours was vaccinations. This facility administered the pneumonia vaccine to 98.4375 percent of its residents. This is a reliable method to minimize unnecessary deaths for the nursing home population. Lastly, this nursing home was able to limit hospitalizations. With only 1.44 hospitalizations per one thousand long-term resident days, this nursing home has fewer hospitalizations than most nursing homes.
Short-term Care Quality
Switching gears to the final category, we gave this facility a D in the area of short-term care. This was the facility's weakest category score. Of course, this category pulled down the nursing home's overall profile to some degree. In the category of short-term care, we strive to evaluate measures of a nursing home's rehabilitation services. We look at the nursing home's skilled nursing services, such as those performed by registered nurses and physical therapists. Unfortunately, this nursing home was below average in terms of its quantity of physical therapy and registered nurse hours offered to its residents based on the metrics we considered. Lastly, we assessed the percentage of patients who were able to return home from this nursing home. This facility didn't fare well here either. In fact, we found that just 41 percent of this facility's residents were able to return home. This figure was well off the national average.
Rating Over Time
Compared to national and state averages across all facilities.
Neligh Care and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
In Neligh Care and Rehabilitation Center, 5.68% of Patients had Pressure Ulcers
This indicates the percent of residents that sustained a pressure ulcer. Pressure ulcers are skin damage caused by staying in one position for too long.
Minimizes Serious Falls
In Neligh Care and Rehabilitation Center, 4.9% of Patients had Serious Falls
This tells you the percentage of patients who suffered from a major fall. Falls resulting in major injuries are routinely associated with lower levels of patient supervision. More supervision limits the number of major falls sustained by residents in a nursing home.
Minimizes Urinary Tract Infections
In Neligh Care and Rehabilitation Center, 3.74% of Patients had UTIs
This indicates the percentage of residents who suffered from a urinary tract infection. Urinary tract infections are often caused by lower quality nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have incongruent reporting standards for infections.
Appropriately Uses Anti-Psychotic Medication
In Neligh Care and Rehabilitation Center, 17.84% of Patients use Anti-Psychotic Medication
This tells you the percentage of patients who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used only where medically required. In some cases, high levels of antipsychotic drug use may indicate that a facility is using these drugs to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Neligh Care and Rehabilitation Center, 19.55% of Patients use Anti-Anxiety Medication
This metric is a measure of the percentage of long-term residents taking antianxiety medications.
Managing Depression Among Residents
In Neligh Care and Rehabilitation Center, 4.13% of Patients
This datapoint is a measure of the percentage of long-term patients who are exhibiting signs of depression. Many in the industry argue that this is a measure of quality of care.
Appropriate Vaccine Usage
In Neligh Care and Rehabilitation Center, 93.24% of Patients
This is a measure of the percentage of long-term stay patients who were given the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home residents, making these vaccines vital to patient care.
Residents Maintain Autonomy
In Neligh Care and Rehabilitation Center, 15.12% Percentage of Patients
This metric measures the percentage of long-term care patients that required additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Some experts would argue that this is a reliable measure of a resident's well-being.
Ability to Keep Residents Mobile
In Neligh Care and Rehabilitation Center, 21.01% Percentage of Residents
This tells you the percent of residents who retained mobility levels over time. Preserving mobility is usually a good sign for residents' well-being.
In Neligh Care and Rehabilitation Center, 1.25 Hospitalizations per 1,000 resident days
This tells you the number of times residents are hospitalized per 1,000 days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Short-term Care: Rehospitalizations
In Neligh Care and Rehabilitation Center, 21.01 Percentage of Residents Rehospitalized
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term patient care. Keeping residents out of the hospital during rehabilitation is critical to restoring the physical abilities of patients.