| General |
| City |
| Forest City |
Panora |
| State attribute explanation |
| Ia |
Ia |
| Street |
| 606 South Seventh Street |
805 East Main |
| Zip Code |
| 50,436 |
50,216 |
| Phone |
| 6,415,852,232 |
6,417,552,700 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
2 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 2 |
3 |
|
Number of Certified Beds |
| 56 |
91 |
|
Total Number of Residents |
| 54 |
50 |
|
Percent of Occupied Beds |
| 96 % |
55 % |
| Health Survey Date |
| 1/6/2012 |
6/29/2012 |
| Fire Survey Date |
| 1/10/2012 |
6/26/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| 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 |
|
4 |
|
| Staff Information |
| Number of Residents |
| 54 |
50 |
| Number of RN Hours Per Resident Per Day |
| 0.4 |
0.45 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.71 |
0.68 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.11 |
1.13 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
|
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: 12/01/2011date Of Correction: 12/16/2011 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 06/29/2012date Of Correction: 07/29/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 04/30/2009date Of Correction: 06/08/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 06/29/2012date Of Correction: 07/29/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.7 % |
34.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.3 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.8 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 2 % |
8.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.9 % |
3.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 14 % |
2.20 % |
| Percent of long-stay residents who have depressive symptoms |
| 2 % |
4.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.4 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.6 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.9 % |
|
| 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 |
| 2 % |
6.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26 % |
31.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.6:1 |
9.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.8 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
4.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 42.6 % |
58.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
1 % |
| Percent of long-stay residents with a urinary tract infection |
| 14.6 % |
6.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.7 % |
2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.4 % |
30.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.2:1 |
8.6:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86.9 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.9 % |
93.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.9 % |
8.7 % |