AJ Merrick Manor

Detailed report on the nursing home located in Fremont, Nebraska (NE).

AJ Merrick Manor is a large, government run, nursing home with 162 beds based at 450 East 23rd Street in Fremont, NE. The facility has 157 residents indicating 97% of its beds are occupied, which is above average within this state. The provider participates in the medicare & medicaid programs and provides resident & family counseling services. The home is located in a hospital and is fully sprinklered. A total of 314 Medicare patients were given 8,758 days of non-swing bed care and services in 2006, and the provider was reimbursed $2,585,966 by Medicare. 280 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $211,424 by Medicare for these services.

On a state level, the number of registered nurse hours per resident per day is average. Certified nursing assistant hours per resident per day is average. The number of licensed practical or vocational nurse hours per resident per day is lower than average. Licensed staff hours per resident per day is average.

When compared to other nursing homes in the state, it is more likely for long-stay residents to need help with daily activities to increase, long-stay residents to have catheter inserted and left, long-stay residents to have their ability to move around their room get worse, and long-stay residents to lose too much weight at AJ Merrick Manor.

When compared to other nursing homes in the state, it is less likely for long-stay residents to have moderate to severe pain, high-risk long-stay residents to have pressure sores, long-stay residents to be physically restrained, long-stay residents to be more depressed or anxious, long-stay residents to spend most of their time in bed, short-stay residents to have delirium, and short-stay residents to have moderate to severe pain.

Overall Rating

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Rated 4.00 out of 5 from 1 User Review
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Quality of Care Rating

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Rated 3.00 out of 5 on this user rated measure.

Staff Rating

Full StarFull StarFull StarFull StarEmpty Star
Rated 4.00 out of 5 on this user rated measure.

Facility Rating

Full StarFull StarFull StarFull StarEmpty Star
Rated 4.00 out of 5 on this user rated measure.

Promptness Rating

Full StarFull StarFull StarEmpty StarEmpty Star
Rated 3.00 out of 5 on this user rated measure.

Ownership Type

Government - County

Multiple Ownership

No

Address

450 East 23rd Street
Fremont, NE 68025

Phone Number

(402) 721-1610

Geographic Coordinates

41.451466, -96.491955
* The accuracy of these coordinates is at a address level.

Programs Accepted

Medicare & Medicaid

Counseling Available

Resident & Family

Sprinkler System

The amount of the facility that is sprinklered. All fire code regulations at different locations must be met.

Fully Sprinklered
Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate

Beds

The total number of beds the facility operates. Each resident is assigned to a single bed.

This Provider This Provider
162
Fremont Average
125
Dodge County Average
87
Nebraska Average
71
United States Average
106

Beds Occupied

The percentage of total beds that are occupied by residents.

This Provider This Provider
97.00%
Fremont
89.00%
Dodge County
84.00%
Nebraska
81.57%
United States
84.18%

Residents

The total number of residents residing at the facility.

This Provider This Provider
157
Fremont Average
114
Dodge County Average
76
Nebraska Average
58
United States Average
90

Located in a Hospital

Status

Indicates whether the facility is located within a hospital.

This Provider This Provider
Yes
Fremont
1 (33.33%)
Dodge County
1 (14.29%)
Nebraska
23 (10.18%)
United States
1,271 (8.03%)

Located in a CCRC

Status

Indicates whether the facility is located within a continuing care retirement community.

This Provider This Provider
No
Fremont
0 (0.00%)
Dodge County
0 (0.00%)
Nebraska
13 (5.75%)
United States
1,255 (7.93%)

Recent Surveys

  • 06/11/2007 - Fire Safety Survey
  • 05/24/2007 - Health Survey
  • 03/22/2006 - Health Survey
  • 03/14/2006 - Fire Safety Survey
  • 03/23/2005 - Health Survey
  • 03/23/2005 - Fire Safety Survey

Staff

Charts

RN Hours Per Resident

The average number of registered nurse hours per resident per day.

This Provider
0.61
Fremont Average
0.57
Dodge County Average
0.60
Nebraska Average
0.61
United States Average
0.64

CNA Hours Per Resident

The average number of certified nursing assistant hours per resident per day.

This Provider This Provider
2.29
Fremont Average
2.36
Dodge County Average
2.18
Nebraska Average
2.38
United States Average
2.34

LPNLVN Hours Per Resident

The average number of licensed practical or vocational nurse hours per resident per day.

This Provider This Provider
0.59
Fremont Average
0.48
Dodge County Average
0.44
Nebraska Average
0.72
United States Average
0.79

Licensed Staff Hours Per Resident

The average number of licensed staff hours per resident per day.

This Provider This Provider
1.20
Fremont Average
1.05
Dodge County Average
1.04
Nebraska Average
1.33
United States Average
1.43

Quality Measures

Charts

Long-Stay Residents Given Influenza Vaccination

The percentage of long-stay residents given influenza vaccination during the flu season.

This Provider This Provider
95.00%
Fremont
92.33%
Dodge County
93.86%
Nebraska
90.96%
United States
86.01%

Long-Stay Residents Whose Need for Help With Daily Activities Has Increased

The percentage of long-stay residents whose need for help with daily activities has increased.

This Provider This Provider
20.00%
Fremont
21.33%
Dodge County
16.43%
Nebraska
15.92%
United States
16.08%

High-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of high-risk long-stay residents who have pressure sores.

This Provider This Provider
5.00%
Fremont
7.00%
Dodge County
7.00%
Nebraska
8.91%
United States
12.83%

Long-Stay Residents Who Were Physically Restrained

The percentage of long-stay residents who were physically restrained.

This Provider This Provider
0.00%
Fremont
0.67%
Dodge County
0.29%
Nebraska
1.09%
United States
5.63%

Low-Risk Long-Stay Residents Who Lose Control of Their Bowels

The percentage of low-risk long-stay residents who lose control of their bowels or bladder.

This Provider This Provider
39.00%
Fremont
43.33%
Dodge County
47.33%
Nebraska
46.87%
United States
48.78%

Long-Stay Residents Who Spend Most of Their Time in Bed

The percentage of long-stay residents who spend most of their time in bed or in a chair.

This Provider This Provider
1.00%
Fremont
1.33%
Dodge County
1.14%
Nebraska
1.65%
United States
4.39%

Long-Stay Residents With a Urinary Tract Infection

The percentage of long-stay residents with a urinary tract infection.

This Provider This Provider
9.00%
Fremont
11.00%
Dodge County
7.00%
Nebraska
8.41%
United States
8.83%

Short-Stay Residents Given Influenza Vaccination

The percentage of short-stay residents given influenza vaccination during the flu season.

This Provider This Provider
95.00%
Fremont
76.67%
Dodge County
76.67%
Nebraska
81.04%
United States
72.85%

Short-Stay Residents With Delirium

The percentage of short-stay residents with delirium.

This Provider This Provider
2.00%
Fremont
1.00%
Dodge County
1.00%
Nebraska
3.40%
United States
2.12%

Short-Stay Residents With Pressure Sores

The percentage of short-stay residents with pressure sores.

This Provider This Provider
14.00%
Fremont
12.00%
Dodge County
12.00%
Nebraska
11.99%
United States
17.46%

Long-Stay Residents Given Pneumococcal Vaccination

The percentage of long-stay residents who were assessed and given pneumococcal vaccination.

This Provider This Provider
95.00%
Fremont
92.00%
Dodge County
93.71%
Nebraska
88.16%
United States
79.81%

Long-Stay Residents Who Have Moderate to Severe Pain

The percentage of long-stay residents who have moderate to severe pain.

This Provider This Provider
1.00%
Fremont
7.33%
Dodge County
5.43%
Nebraska
5.46%
United States
4.53%

Low-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of low-risk long-stay residents who have pressure sores.

This Provider This Provider
2.00%
Fremont
1.00%
Dodge County
1.00%
Nebraska
2.47%
United States
2.33%

Long-Stay Residents Who are More Depressed or Anxious

The percentage of long-stay residents who are more depressed or anxious.

This Provider This Provider
9.00%
Fremont
11.33%
Dodge County
13.43%
Nebraska
20.09%
United States
14.45%

Long-Stay Residents Who Have Catheter Inserted and Left

The percentage of long-stay residents who have/had a catheter inserted and left in their bladder.

This Provider This Provider
20.00%
Fremont
11.67%
Dodge County
10.43%
Nebraska
8.42%
United States
5.89%

Long-Stay Residents Whose Ability to Move Around Their Room Got Worse

The percentage of long-stay residents whose ability to move about in and around their room got worse.

This Provider This Provider
18.00%
Fremont
18.33%
Dodge County
16.60%
Nebraska
14.41%
United States
13.04%

Long-Stay Residents Who Lose Too Much Weight

The percentage of long-stay residents who lose too much weight.

This Provider This Provider
13.00%
Fremont
10.33%
Dodge County
8.14%
Nebraska
8.26%
United States
9.09%

Short-Stay Residents Given Pneumococcal Vaccination

The percentage of short-stay residents who were assessed and given pneumococcal vaccination.

This Provider This Provider
95.00%
Fremont
87.67%
Dodge County
88.25%
Nebraska
83.08%
United States
73.02%

Short-Stay Residents Who Had Moderate to Severe Pain

The percentage of short-stay residents who had moderate to severe pain.

This Provider This Provider
6.00%
Fremont
10.50%
Dodge County
10.50%
Nebraska
25.46%
United States
20.65%

Treatment Figures

Charts

Non-Swing Bed Patients

The number of non-swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
314
Fremont Average
186
Dodge County Average
97
Nebraska Average
76
United States Average
133

Non-Swing Bed Patient Discharges

The number of non-swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
266
Fremont Average
159
Dodge County Average
80
Nebraska Average
65
United States Average
124

Non-Swing Bed Utilization Days

The number of days of non-swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
8,758
Fremont Average
6,009
Dodge County Average
3,099
Nebraska Average
2,362
United States Average
4,470

Outpatients

The number of outpatients treated by this provider that were covered by Medicare Part B in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider This Provider
280
Fremont Average
185
Dodge County Average
108
Nebraska Average
226
United States Average
301

Financials

Charts

Medicare Non-Swing Bed Payments

The total non-swing bed associated Medicare Part A payments made to this provider in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$2,585,966
Fremont Average
$1,665,274
Dodge County Average
$843,559
Nebraska Average
$620,145
United States Average
$1,318,701

Medicare Payments Per Non-Swing Bed Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$295
Fremont Average
$277
Dodge County Average
$272
Nebraska Average
$262
United States Average
$295

Medicare Outpatient Payments

The total outpatient associated Medicare Part B payments made to this provider in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider This Provider
$211,424
Fremont Average
$132,211
Dodge County Average
$79,986
Nebraska Average
$199,671
United States Average
$266,523

Medicare Payments Per Non-Swing Bed Patient

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$8,236
Fremont Average
$8,937
Dodge County Average
$8,709
Nebraska Average
$8,150
United States Average
$9,943

Medicare Payments Per Non-Swing Bed Patient Discharge

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$9,722
Fremont Average
$10,452
Dodge County Average
$10,526
Nebraska Average
$9,548
United States Average
$10,652

Medicare Payments Per Outpatient

The average Medicare payments made to this provider per Medicare Part B covered outpatient in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider This Provider
$755
Fremont Average
$715
Dodge County Average
$739
Nebraska Average
$885
United States Average
$885

Deficiencies

06/11/2007 - Automatic Sprinkler Systems

06/11/2007 - Automatic Sprinkler Systems
Type:
Fire Safety
Category:
Automatic Sprinkler Systems
Issue:
an approved automatic sprinkler system connected to the fire alarm system.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/11/2007
Date Fixed:
07/20/2007

05/24/2007 - Resident Rights

05/24/2007 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/24/2007
Date Fixed:
07/07/2007

05/24/2007 - Pharmacy Service

05/24/2007 - Pharmacy Service
Type:
Health
Category:
Pharmacy Service
Issue:
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/24/2007
Date Fixed:
07/07/2007

05/24/2007 - Nutrition and Dietary

05/24/2007 - Nutrition and Dietary
Type:
Health
Category:
Nutrition and Dietary
Issue:
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/24/2007
Date Fixed:
07/07/2007

05/24/2007 - Pharmacy Service

05/24/2007 - Pharmacy Service
Type:
Health
Category:
Pharmacy Service
Issue:
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/24/2007
Date Fixed:
07/07/2007

05/24/2007 - Quality Care

05/24/2007 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give each resident care and services to get or keep the highest quality of life possible.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/24/2007
Date Fixed:
07/07/2007

03/22/2006 - Quality Care

03/22/2006 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/22/2006
Date Fixed:
04/28/2006

03/22/2006 - Quality Care

03/22/2006 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/22/2006
Date Fixed:
04/28/2006

03/14/2006 - Smoke Compartmentation and Control

03/14/2006 - Smoke Compartmentation and Control
Type:
Fire Safety
Category:
Smoke Compartmentation and Control
Issue:
smoke barrier doors that can resist smoke for at least 20 minutes.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/14/2006
Date Fixed:
05/08/2006

03/23/2005 - Resident Rights

03/23/2005 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/23/2005
Date Fixed:
05/07/2005

03/23/2005 - Quality Care

03/23/2005 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/23/2005
Date Fixed:
05/07/2005

03/23/2005 - Quality Care

03/23/2005 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/23/2005
Date Fixed:
05/07/2005

03/23/2005 - Quality Care

03/23/2005 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/23/2005
Date Fixed:
05/07/2005

03/23/2005 - Quality Care

03/23/2005 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give each resident care and services to get or keep the highest quality of life possible.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
03/23/2005
Date Fixed:
05/07/2005

Reviews and Ratings

 (Details have not been substantiated)

A Review by Anonymous

AJ Merrick Manor Review
Overall:
Full StarFull StarFull StarFull StarEmpty Star
Care:
Full StarFull StarFull StarEmpty StarEmpty Star
Staff:
Full StarFull StarFull StarFull StarEmpty Star
Facility:
Full StarFull StarFull StarFull StarEmpty Star
Promptness:
Full StarFull StarFull StarEmpty StarEmpty Star
Insurance:
None
Details:

I though that all the employees where great anf took care of each and idividuals.

Member:
Date:

Discussions

 (Details have not been substantiated)

Daily cost

Daily cost
Details:

What is the complete daily cost, less medications and do you provide a local bus service to the doctors in fremont.

Replies:
0
Member:
Anonymous
Date:
Tuesday, December 16, 2008 5:36 PM MST

Supplemental

Last Modified

Monday, July 21, 2008 2:45 PM MST

Indicates the latest change to the core data for this provider. It does not reflect changes from user input, such as reviews and discussions.

Disclosure

CiteHealth is not associated with AJ Merrick Manor or A. J. Merrick Manor. We do not endorse, sponsor, or take financial incentives from this provider.

Updates & Additional Information

We appreciate any verifiable updates or additional information you may have on this provider.

Nearby Nursing Homes

  1. Nursing Home
    Arbor Manor
    Located 0.56 miles away in Fremont at 2550 North NYE Avenue.
  2. Nursing Home
    NYE Pointe Health & Rehab Center
    Located 1.07 miles away in Fremont at 2700 Laverna Street.
  3. Nursing Home
    Hooper Care Center
    Located 11.02 miles away in Hooper at 400 East Birchwood Drive.
  4. Nursing Home
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  5. Nursing Home
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    Located 16.98 miles away in Scribner at 815 Logan Street.
Note: There are a total of 8 homes within 25 miles of this provider.

Newest Reviews

Fremont at a Glance

Fremont has a total population of 25,174, of which 6,100 are children under the age of 18 and 4,391 are seniors 65 and older. The median age is 37.0.

Total Population:
25,174
Median Age:
37.0
Males:
11,977 (47.6%)
Female:
13,197 (52.4%)
Children (0-17):
6,100 (24.2%)
Adults (18-64):
14,683 (58.3%)
Seniors (65+):
4,391 (17.4%)
Age Breakdown:
Breakdown of age groups in Fremont
Married:
11,312 (44.9%)
Divorced:
2,231 (8.9%)
Marriage Breakdown:
Breakdown of marriage in Fremont
Hispanic Ethnicity:
1,085 (4.31%)
White:
23,987 (95.28%)
African American:
144 (0.57%)
Asian:
154 (0.61%)
Pacific Islander:
28 (0.11%)
Indian:
78 (0.31%)
Other:
576 (2.29%)
Two or More:
207 (0.82%)
Racial Breakdown:
Breakdown of race in Fremont

Health

The average number of disabilities per resident is 0.29, which does not include institutionalized individuals.

Disabilities:
0.29 (Per Capita)
Dialysis Centers:
2
Doctors:
114
Home Agencies:
1
Hospitals:
1
Nursing Homes:
3
Medical Suppliers:
17
Rehab Centers:
0

Wealth

The median family income is $45,259 while the median household income is $36,700. Roughly 8.46% of the population live in poverty.

Family Income:
$45,259
Household Income:
$36,700
In Poverty:
8.46%

Nearby Doctors

Note: These physicians are not associated with this provider. However, an office is nearby.

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