| General |
| City |
| Charles City |
Mason City |
| State attribute explanation |
| Ia |
Ia |
| Street |
| 602 Eleventh Street |
910 North Eisenhower Avenue |
| Zip Code |
| 50,616 |
50,401 |
| Phone |
| 6,412,282,353 |
6,414,225,647 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 2 |
|
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 2 |
|
| Number of Certified Beds |
| 61 |
26 |
|
Total Number of Residents |
| 54 |
17 |
|
Percent of Occupied Beds |
| 89 % |
65 % |
| Health Survey Date |
| 6/29/2012 |
1/27/2012 |
| Fire Survey Date |
| 7/5/2012 |
1/31/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Church Related |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 3 |
1 |
|
| Staff Information |
| Number of Residents |
| 54 |
17 |
| Number of RN Hours Per Resident Per Day |
| 0.49 |
|
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.47 |
|
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.96 |
|
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
|
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
|
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/20/2011date Of Correction: 06/16/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/03/2010date Of Correction: 05/18/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 11/10/2010date Of Correction: 12/10/2010 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 05/20/2011date Of Correction: 06/16/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
|
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.5 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
|
| Percent of long-stay residents who lose too much weight |
| 11.8:1 |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.8 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 5.8 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
|
43.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
90 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
84.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.8 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.4 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.1 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.9 % |
|
| Percent of long-stay residents who lose too much weight |
| 12.6:1 |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50.7 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.9 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 7.1 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 3.3 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 12.4-2413.6-24 |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 20 % |
44.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
80.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
83.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
0.2 % |