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URBANDALE HEALTH CARE CENTER

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URBANDALE HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City URBANDALE   vs 0% Nursing Homes USA have URBANDALE
State attribute explanation IA   vs 2.7% Nursing Homes USA have IA
Street 4614 NW 84TH STREET  
Zip Code 50322  
Phone 5152706838  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
130  (21.06 higher than average)
vs
108.94

Total Number of Residents
94  (2.75 higher than average)
vs
91.25

Percent of Occupied Beds
72 % (11.65 % lower than average)
vs
83.65 %

Health Survey Date 4/23/2012  
Fire Survey Date 4/27/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? Yes  vs 1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
32  (24.52 higher than average)
vs
7.48

Staff Information
Number of Residents
94  (2.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.55  (0.22 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.92  (0.08 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.46  (0.13 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/23/2012
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/04/2011
date Of Correction: 05/21/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/08/2009
date Of Correction: 05/21/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have Enough Outside Ventilation Via A Window Or Mechanical Ventilation, Or Both.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/23/2012
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 05/11/2010
date Of Correction: 06/11/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 05/07/2009
date Of Correction: 05/21/2009 

Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 12/14/2011
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 08/16/2011
date Of Correction: 09/02/2011 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/11/2010
date Of Correction: 05/25/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/25/2009
date Of Correction: 12/21/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 05/07/2009
date Of Correction: 05/21/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/07/2009
date Of Correction: 05/21/2009 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 05/07/2009
date Of Correction: 05/21/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensation
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 04/06/2009
date Of Correction: 06/18/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 08/19/2009
date Of Correction: 09/15/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 08/19/2009
date Of Correction: 09/15/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/06/2009
date Of Correction: 05/21/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.
survey Date: 08/24/2010
date Of Correction: 09/15/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 05/07/2009
date Of Correction: 05/21/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 05/07/2009
date Of Correction: 06/18/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22.1 (71.8) % (2.99 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (31.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
8.7 % (7.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.1 % (7.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.3 % (2.53 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 % (12.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
17.4 % (3.94 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 16.3:1 % 
Percent of long-stay residents who were physically restrained
1.2 % (42.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
39.7 % (14.68 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.9 % (6.26 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
86.5 % (2.56 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (29.3 % higher than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
3.5 % (12.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.5 % (2.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (22.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7 % (7.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.7 % (5.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.2 % (3.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 19.1:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 % (6.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
15.1 % (5.52 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
16.2 % (3.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.2 % (37.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
5.5 % (5.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
30.8 % (6.04 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.3 % (5.86 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
76.9 % (2.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
18.6 (65.5) % (1.26 % higher than average)
vs
17.34 %



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