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href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/about_us/member_services/cah/cah_top10_deficiencies/">Top 10 Deficiencies list Oct. 1, 2012 through June 30, 2013</a></li> <li class="fdpc_even fdpc_page cah_top10_deficiencies_6302012"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/about_us/member_services/cah/cah_top10_deficiencies/cah_top10_deficiencies_6302012.html">Top 10 Deficiencies list through June 30, 2012</a></li> <li class="fdpc_odd fdpc_page fdpc_last list_of_deficiencies_2013"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/about_us/member_services/cah/cah_top10_deficiencies/list_of_deficiencies_2013.html">Listing of Deficiencies for 2013</a></li> </ul> </li> <li class="fdpc_even fdpc_page fdpc_last state_operations_manuals"><a 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href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/communications/communications_resources/newslink_archive_dec13.html">Newslink December 2013</a></li> <li class="fdpc_odd fdpc_page fdpc_last newslink_archive_april14"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/communications/communications_resources/newslink_archive_april14.html">Newslink April 2014</a></li> </ul> </li> </ul> </li> <li class="fdpc_level_0 fdpc_odd fdpc_section advocacy"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/" class="fdpc_level_0">Advocacy</a> <ul class="fdpc_level_1 advocacy"> <li class="fdpc_odd fdpc_page be_an_advocate"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/">Be an Advocate</a></li> <li class="fdpc_even fdpc_section state_issues"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/">State Issues</a> <ul class="fdpc_level_2 state_issues"> <li class="fdpc_odd fdpc_section fdpc_last legislature_2013_14"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/legislature_2013_14/">103rd Legislative Session 2013-14</a> <ul class="fdpc_level_3 legislature_2013_14"> <li class="fdpc_odd fdpc_page state_issues"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/legislature_2013_14/">Issues</a></li> <li class="fdpc_even fdpc_page state_bills"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/legislature_2013_14/state_bills.html">Bills of Interest</a></li> <li class="fdpc_odd fdpc_page state_testimonies"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/legislature_2013_14/state_testimonies.html">Testimonies</a></li> <li class="fdpc_even fdpc_page regulatoryhearing_testimony"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/legislature_2013_14/regulatoryhearing_testimony.html">Regulatory Hearing Testimonies</a></li> <li class="fdpc_odd fdpc_page 2014_legislative_wrapup"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/legislature_2013_14/2014_legislative_wrapup.html">2014 Legislative Wrap-Up</a></li> <li class="fdpc_even fdpc_page fdpc_last 2013_legislative_wrapup"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/state_issues/legislature_2013_14/2013_legislative_wrapup.html">2013 Legislative Wrap-Up</a></li> </ul> </li> </ul> </li> <li class="fdpc_odd fdpc_section federal_issues"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/federal_issues/">Federal Issues</a> <ul class="fdpc_level_2 federal_issues"> <li class="fdpc_odd fdpc_page fdpc_last federal_tracker"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/federal_issues/federal_tracker.html">Tracking Federal Issues</a></li> </ul> </li> <li class="fdpc_even fdpc_section action_center"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/action_center/">Action Center</a> <ul class="fdpc_level_2 action_center"> <li class="fdpc_odd fdpc_page current_state_legislation"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/action_center/">Current state legislation</a></li> <li class="fdpc_even fdpc_page advocacy_alerts"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/action_center/advocacy_alerts.html">Advocacy alerts</a></li> <li class="fdpc_odd fdpc_page fdpc_last presentations"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/action_center/presentations.html">Presentations</a></li> </ul> </li> <li class="fdpc_odd fdpc_page nhapac"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/nhapac.html">NHA Political Action Committee</a></li> <li class="fdpc_even fdpc_page advocacyday2014"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/advocacyday2014.html">Advocacy Day </a></li> <li class="fdpc_odd fdpc_page fdpc_last advocacy_resources"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/advocacy/advocacy_resources.html">Resources</a></li> </ul> </li> <li class="fdpc_level_0 fdpc_even fdpc_section quality_and_safety"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/" class="fdpc_level_0">Quality & Safety</a> <ul class="fdpc_level_1 quality_and_safety"> <li class="fdpc_odd fdpc_section quality_initiatives"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/">Quality Initiatives</a> <ul class="fdpc_level_2 quality_initiatives"> <li class="fdpc_odd fdpc_section quest_for_excellence"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/">Quest for Excellence</a> <ul class="fdpc_level_3 quest_for_excellence"> <li class="fdpc_odd fdpc_page quest_for_excellence"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/">Quest for Excellence Award</a></li> <li class="fdpc_even fdpc_section fdpc_last questforexcellence_archive"> <a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/">Quest for Excellence Awards Archive</a> <ul class="fdpc_level_4 questforexcellence_archive"> <li class="fdpc_odd fdpc_page questforexcellence_archive_2012"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/">2012 Quest for Excellence Awards</a></li> <li class="fdpc_even fdpc_page questforexcellence_archive_2011"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/questforexcellence_archive_2011.html">2011 Quest for Excellence Awards</a></li> <li class="fdpc_odd fdpc_page questforexcellence_archive_2010"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/questforexcellence_archive_2010.html">2010 Quest for Excellence Awards</a></li> <li class="fdpc_even fdpc_page questforexcellence_archive_2009"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/questforexcellence_archive_2009.html">2009 Quest for Excellence Awards</a></li> <li class="fdpc_odd fdpc_page questforexcellence_archive_2008"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/questforexcellence_archive_2008.html">2008 Quest for Excellence Awards</a></li> <li class="fdpc_even fdpc_page questforexcellence_archive_2007"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/questforexcellence_archive_2007.html">2007 Quest for Excellence Awards</a></li> <li class="fdpc_odd fdpc_page fdpc_last questforexcellence_archive_2005"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/quest_for_excellence/questforexcellence_archive/questforexcellence_archive_2005.html">2005 Quest for Excellence Awards</a></li> </ul> </li> </ul> </li> <li class="fdpc_even fdpc_page med_reconciliation"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/quality_and_safety/quality_initiatives/med_reconciliation.html">Medication Reconciliation</a></li> <li class="fdpc_odd fdpc_page hen"><a 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<b><u>C-0322 / Anesthetic Risk and Evaluation - (485.639 (b))</b></u> <br> (1) A qualified practitioner, as specified in paragraph (a) of this section, must examine the patient immediately before surgery to evaluate the risk of the procedure to the performed.<br> (2) A qualified practitioner, as specified in paragraph ( c ) of this section, must examine each patient before surgery to evaluate the risk of anesthesia.<br> (3) Before discharge from the CAH, each patient must be evaluated for proper anesthesia recovery by a qualified practitioner, as specified in paragraph ( c ) of this section.<br> <br> <b>Why Deficiency Cited:</b> The CAH failed to ensure that a physician examined the person immediately before surgery to evaluate the risk of the planned procedure.<br> <ul><li>Review of Medical Record revealed the record lacked evidence of an examination of the patient by a physician immediately before surgery.</li> <li>Review of Facility Policy (Surgical Case Requirements) did not adhere to policies established.</li> <li>Review with Nursing Management, confirmed lack of documented examination.</li> </ul></p></p><p><font face="Verdana" size="2" text="000000"> <br> <b><u>C-0225 / Premises Are Clean and Orderly – 485.623 (b)(4)</b></u><br> Interpretive Guidelines – “Clean and Orderly” means an uncluttered physical environment where patients and staff can function safely. Equipment and supplies are stored in proper spaces, not in corridors. Spills are not left unattended. There are no floor obstructions. The area is neat and well kept. This is no evidence of peeling paint, visible water leaks or plumbing problems.<br> <br> <b>Why Deficiency Cited:</b><br> Acoustical ceiling tiles above food preparation area discolored to a yellowish/brown, numerous gouges and scrapes on the tiles. Tiles not fitting securely. Tie runners for tiles held in place with tie runners that were discolored and displayed scattered rust.<br> <br> Kitchen pots and pans were dented, blackened along the inside edges with food debris and missing manufacture’s seal exposing the underlying metal. Scratched walls that did not allow for proper sanitation of wall. Food stored under food preparation table, containers opened but lacked the date the container was opened. Commercial dishwasher had excessive build-up of lime deposits, not sure when unit last cleaned. Employee’s lunch stored on self in walk-in refrigerator. Dishwasher test strip/temperatures not done on consistent basis. CAH failed to ensure that bed linens used for patients were clean and in good repair.<br> <br> <br> <b><u>C-0241 / Organizational Structure - Governing Body or Responsible Individual 485.627 (a)</b></u><br> The CAH has a governing body or an individual that assumes full legal responsibility for determining, implementing, and monitoring policies governing the CAH’s total operation and for ensuring that those policies are administered so as to provide quality health care in a safe environment.<br> <br> <b>Why Deficiency Cited:</b><br> Based on a review of the physician’s reappointment files, Governing Body meeting minutes, Medical Staff meeting minutes, Medical Staff By-Laws, Rules and Regulation and staff interview, the Governing Body failed to follow the By-Laws during the reappointment process.<br> <br> No meeting attendance record for reappointment files; lacked evidence of review of meeting attendance, quality improvement activities and peer review by each practitioner to the Medical Staff.<br> <br> Review indicated no evidence of competency for Initial and reappointment to Medial Staff.<br> <br> The CAH failed to ensure the Governing Body approved the changes to the Medical Staff Bylaws that were previously approved by the Medical Staff relating to services of emergency medical screening.<br> <br> <br> <b><u>C-0345 / Organ Procurement Organization</b></u><br> Incorporate an agreement with an Organ Procurement Organization (OPO) designated under part 486 of this chapter, under which it must notify, in a timely manner, the OPO or a third party designated by the OPO of individuals whose death is imminent or who have died in the CAH. The OPO determines medical suitability or organ donation and, in the absence of alternative arrangements by the CAH, the OPO determines medical suitability for tissue and eye donation, using the definition of potential tissue and eye donor and the notification protocol developed in consultation with the tissue and eye banks identified by the CAH for this purpose.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH had failed to follow the policies and procedures for the notification of NORS upon a patient death. Nurse on duty did not notify NORS and did not approach the family. No staff members specially trained by NORS to approach family members.<br> <br> <br> <b><u>C-0388 / Resident Assessment – SNF Services</b></u><br> The facility must conduct initially and periodically a comprehensive, accurate, standardized, reproducible assessment of each resident’s functional capacity.<br> <br> <b>Why Deficiency Cited:</b><br> CAH failed to initially assess swing bed patients to ensure the nutritional needs were met within 7 days as directed by the nutritional screens policy and procedure. Nutritional Diets were served to residents without regard to assessments and condition of resident. Substitute food choices were not acceptable to residents.<br> <br> <br> <b><u>C-0197 CAH Governing Body / Agreement for Telemedicine Entity and Services 485.616 ( c )(4)</b></u><br> When telemedicine services are furnished to the CAH’s patients through an agreement with a distant-site telemedicine entity, the CAH’s governing body or responsible individual may choose to rely upon the credentialing and privileging decisions made by the governing body of the distant-site telemedicine entity regarding individual distant-site physicians or practitioners. The CAH’s governing body or responsible individual must ensure, through its written agreement with the distant-site telemedicine entity, that the following provisions are met:<br> (i) The distant-cite telemedicine entity’s medical staff credentialing and privileging process and standards at least meet the standards.<br> (ii) The individual distant-site physician or practitioner is privileged at the distant-site telemedicine entity providing the telemedicine services, which provides a current list to the FCAH of the distant-site physician’s or practitioner’s privileges at the distant-site telemedicine entity.<br> (iii) The individual distant-site physician or practitioner, who holds a license issued or recognized by the State in which the CAH whose patients are receiving the telemedicine services is located.<br> (iv) With respect to a distant-site physician or practitioner, who holds current privileges at the CAH whose patients are receiving the telemedicine services, the CAH has evidence of an internal review of the distant-site physician’s or practitioner’s performance of these privileges and sends the distant-site telemedicine entity such information for use in periodic appraisal of the distant-site physician or practitioner. At a minimum, this information must include all adverse events that result from the telemedicine services provided by the distant-site physician or practitioner to the CAH’s patients and all complains the CAH has received about the distant-site physician or practitioner.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to have an agreement for credentialing of teleradiology physicians. The Medical Staff By-Laws contained no information concerning credentialing and privileging of telemedicine physicians.<br> <br> <br> <b><u>C-0240 / Organizational Structure – 485.627 (a)</b></u><br> The CAH has a governing body or an individual that assumes full legal responsibility for determining, implementing and monitoring policies governing the CAH’s total operation and for ensuring that those policies are administered so as to provide quality health care in a safe environment.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH’s governing body failed to follow the Medical Staff By-Laws to ensure that physicians were trained and qualified for the additional surgical privileges requested and granted by the governing body. Reappointments were granted without evidence of competence, sufficient contact with patients, and or timely completion of medical records and compliance with medical staff rules and regulations.<br> <br> <br> <b><u>C-0280 / Patient Care Policies – 485.635 (a)(4)</b></u><br> These policies are reviewed at least annually by the group of professional perso9nnel required under paragraph (a) (2) of this section, and reviewed as necessary by the CAH.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to ensure that the group of professional personnel reviewed required types of policies and procedures. The policies not reviewed included:<br> <ul><li>Description of the services the CAH furnishes directly and those through an agreement arrangement;</li> <li>Policies & procedures for emergency medical services;</li> <li>Guidelines for the medical management of health problems that include the conditions requiring medical consultation and/or patient referral;</li> <li>The maintenance of health care records;</li> <li>Procedures for the periodic review and evaluation of the services furnished by the CAH;</li> <li>Rules for the storage, handling, dispensation and administration of drugs;</li> <li>Procedures for the reporting of adverse drug reactions and errors in administration of drugs;</li> <li>System for identifying, reporting, investigating and controlling infections and communicable diseases of patients and personnel, and</li> <li>Procedures that ensure that the nutritional needs of inpatients are met in accordance with recognized dietary practices.</li></ul></p><p><font face="Verdana" size="2" text="000000"><br> <br> <b><u>C-0304 / Patient Care Policies – 485.638 (a) (4)</b></u><br> For each patient receiving health care services, the CAH maintains a record that includes, as applicable –<br> (i) Identification and social data, evident of properly executed informed consent forms, pertinent medical history, and assessment of the health status and health care needs of the patient, and a brief summary of the episode, disposition, and instructions to the patient.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to ensure informed consent was obtained. Signed consent forms signed by the patient or guardian were not available.<br> <br> <br> <b><u>C-0337 / Patient Care Services – 485.641(b)(1)</b></u><br> All patient care services and other services affecting patient health and safety are evaluated.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to include in their Quality Improvement program the following departments:<br> <ul><li>Cardiac Rehabilitation</li> <li>Specialty Clinics</li> <li>Nuclear Medicine</li></ul></p><p><font face="Verdana" size="2" text="000000"><br> <b><u>C-0340 / Patient Care Services – 485.641 (b)(4)</b></u><br> The quality and appropriateness of the diagnosis and treatment furnished by doctors of medicine or osteopathy at the CAH are evaluated by—<br> (i) One hospital that is a member of the network, when applicable;<br> (ii) One QIO or equivalent entity;<br> (iii) One other appropriate and qualified entity identified in the State rural health care plan;<br> (iv) In the case of distant-site physicians and practitioners providing telemedicine services to the CAH’s patients under a written agreement between the CAH and a distant-site hospital, the distant-site hospital; or<br> (v) In the case of distant-site physicians and practitioners providing telemedicine services to the CAH’s patients under a written agreement between the CAH and a distant-site telemedicine entity.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to follow their policy for external peer review provided by the Network Hospital.<br> <br> <br> <b><u>C-0272 / Provision of Services – 485.635(a)(2)</b></u><br> The policies are developed with the advice of a group of professional personnel that includes one or more doctors of medicine or osteopathy and one or more physician assistants, nursing practitioners, or clinical nurse specialist, if they are on staff and under the provisions of 485.631 (a)(1); at least one member is not a member of the CAH staff.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to ensure that the group of professionals developed the required types of policies and procedures (Guidelines for the medical management of health problems that include the conditions requiring medical consultation and or patient referral). The facility failed to ensure that at least one member was not a member of the CAH Staff.<br> <br> <br> <b><u>C-0308 / Protection of Record Information – 485.638 (b)</b></u><br> The CAH maintains the confidentially of record information and provides safeguards against loss, destruction or unauthorized use.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to ensure confidentiality of medical record information for outpatients seen in departments.<br> <br> Doors to departments not locked, cabinets containing medical records not locked.<br> <br> <br> <b>NEBRASKAS HEALTH & HUMAN SERVICES<br> REGULATION AND LICENSURE<br> TITLE 175 / CHAPTER 9 – HOSPITALS</b><br> <br> <b><u>9-006.03A1 / Staff Credentials</b></u><br> The current active licensure, registration, certification or other credentials in accordance with applicable state law, prior to staff assuming job responsibilities and must have procedures for verifying that the current status is maintained.<br> <br> <b>Why Deficiency Cited:</b><br> The hospital failed to ensure all staff had a current license prior to assuming job responsibilities and failed to implement procedures to ensure all staff, which were required by law to obtain a current license, did so prior to providing direct patient care.<br> <br> <b><u>9.00603B1 / Orientation</b></u><br> Each hospital must provide and maintain evidence of an orientation program for all new staff and, as needed, for exiting staff who are given new assignments.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to ensure that employees received orientation on reporting requirements for abuse, neglect or exploitation.<br> <br> The CAH failed to ensure that registered nurses were oriented to the supervision requirements for EMT-Paramedics.<br> <br> <b><u>9-006.01A / #18 and #20</b></u><br> The governing authority responsibilities include;<br> <b>#18</b> – Approving the organization, bylaws, rules and regulations, and policies and procedures of the medical staff and the departments in the hospital.<br> <b>#20</b> – Determining if emergency medical technician-intermediates or emergency medical technician-paramedics may perform activities within their scope of practice as either an employee or volunteer within the hospital.<br> <br> <b>Why Deficiency Cited:</b><br> The CAH failed to ensure the Governing Board approved changes to the Medical Staff Bylaws that were approved by the Medical Staff and failed to ensure the Governing Body was responsible for determining if EMT-Paramedics could perform activities within their scope of practice as an employee within the hospital. This failed practice has the potential to affect all acute inpatients, skilled inpatients, and patients seen in the emergency department.<br> <br> <br> <b><u>9-006.07A1 / Medical Records – Content</b></u><br> Each medical record must contain, when applicable, the following information:<br> 1. Identification Data;<br> 2. Chief Complaint;<br> 3. Present Illness;<br> 4. History & Physical Examination;<br> 5. Admitting Diagnosis;<br> 6. All pathology/laboratory and radiology reports;<br> 7. Properly executed informed consent Forms<br> 8. Consultation Reports<br> 9. Medical Practitioner Orders<br> 10. Documentation of all care and treatment, medical and surgical<br> 11. Tissue Report<br> 12. Progress notes of all disciplines;<br> 13. Discharge summary and final diagnosis;<br> 14. Autopsy findings; and<br> 15. Advance Directives, if available.<br> <br> <b>Why Deficiency Cited:</b><br> The facility failed to ensure medical records had original handwritten physician orders included in the medical record.<br> <br> Compiled by Al Klaasmeyer, VP – Subsidiaries, NHA / August 7, 2013<br></p> </div> </div> <footer class="wrap"> <div class="footer_links"> </div>  <div class="locations"> <div class="locations_website_title"> Nebraska Hospital Association </div> <div class="location location1"> <div class="location_addresses"> <div class="location_address location_address1"> 3255 Salt Creek Circle, Suite 100 </div> <div class="location_address location_address2"> Lincoln, NE 68504-4778 </div> <div class="location_end"></div> </div> <div class="location_phones"> <div class="location_phone location_phone1"> <span class="location_phone_label">Phone</span> <span class="location_phone_number">(402) 742-8140</span> </div> <div class="location_phone location_phone2"> <span class="location_phone_label">Fax</span> <span class="location_phone_number">(402) 742-8191</span> </div> <div class="location_end"></div> </div> <div class="location_email"> <span class="location_email_label">E-mail</span> <span class="location_email_link"><a href="https://web.archive.org/web/20140620221758/http://www.nebraskahospitals.org/contact.html">info@NebraskaHospitals.org</a></span> </div> <div class="location_info"> <p>Monday-Friday, 8:30 a.m. - 5:00 p.m.</p> </div> <div class="location_social_media"> <div class="location_facebook"> <span class="location_facebook_label">Facebook</span> <span class="location_facebook_link"><a href="https://web.archive.org/web/20140620221758/http://facebook.com/NEhospitals" target="_blank">NEhospitals</a></span> </div> <div class="location_twitter"> <span class="location_twitter_label">NebHospitals</span> <span class="location_twitter_link"><a href="https://web.archive.org/web/20140620221758/https://twitter.com/#!/NebHospitals" target="_blank">NebHospitals</a></span> </div> <div class="location_end"></div> </div> <div class="location_end"></div> </div> </div> <p class="copyright">© Copyright 2014</p>   <div class="fdpc_design_footer"> </div>  </footer> </div> <script src="https://web.archive.org/web/20140620221758js_/http://cdn.firespring.com/designs/np_bulwark/js/anythingslider/jquery.anythingslider.js"></script> <script type="text/javascript" src="https://web.archive.org/web/20140620221758js_/http://cdn.firespring.com/designs/np_bulwark/js/scripts.js"></script> <script src="https://web.archive.org/web/20140620221758js_/http://cdn.firespring.com/cache/core.1402970906.js" type="text/javascript"></script> <script type="text/javascript"> var firespring = { log: function(){ return; }, goal: function(){ return; }}; var firespring_site_id = 66415578; (function() { var s = document.createElement('script'); s.type = 'text/javascript'; s.async = true; s.src = ( document.location.protocol == 'https:' ? 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