Quality of care metrics reveal significant performance gaps in short-stay rehabilitation outcomes at Haven Home, a nursing home and assisted living facility at 100 W Elm St in Kenesaw, Nebraska.
Ability to care for self at discharge reached only 28.6 percent of residents, substantially below Nebraska’s state average of 53.7 percent; a 47 percent performance deficit. Successful return to home or community registered 37.0 percent, 27 percent worse than the state average of 50.6 percent. These figures indicate that rehabilitation residents often discharge with reduced functional independence.
The facility earns below-average CMS quality ratings in both short-stay and long-stay categories. Positive outcomes appear limited to falls prevention: zero residents experienced major injury from falls during short-stay episodes, compared to Nebraska’s average of 0.8%.
Hospitalizations per 1,000 resident days measured 1.49, 17% better than average. Outpatient emergency department visits registered 1.62 per 1,000 days, also 17% better than Nebraska’s benchmark.
Registered nurse hours total 19 minutes per resident per day, the lowest among the three nursing levels and 56% below Nebraska’s state average of 43 minutes. Licensed practical nurse staffing reaches 41 minutes daily, 5% below state average. Certified nursing aide hours measure 1 hour 52 minutes per day, 33% below the state average of 2 hours 46 minutes. Physical therapist coverage is minimal at 1 minute per day, 67% below Nebraska’s average of 3 minutes.
Weekend total nursing drops to 2 hours 34 minutes per resident per day, 29% below the state average of 3 hours 37 minutes. Weekend registered nurse hours fall to 12 minutes per day, representing a 59% reduction from state averages.
Haven Home provides skilled nursing short-term rehabilitation, skilled nursing long-term care, and assisted living across private, semi-private, and various bedroom configurations. The single-story facility maintains 24-hour staffing, permits pets, and offers respite care and rehabilitation services. Amenities include emergency call systems, transportation, lounges, sunrooms, beauty and barber services, a state-of-the-art fitness center, and organized clubs and events.
The facility is not CMS-certified for Medicare or Medicaid.
Walk score of 1 indicates extreme car-dependence; the location sits 32.4 miles from the city center and 14.12 miles from Hastings Medical Park.
Haven Home demonstrates chronic and severe staffing deficits correlating with markedly impaired rehabilitation discharge outcomes, despite modest successes in injury and infection prevention.
