| General |
| City |
| Villisca |
Denison |
| State attribute explanation |
| Ia |
Ia |
| Street |
| 202 North Central Avenue |
1202 Ridge Road |
| Zip Code |
| 50,864 |
51,442 |
| Phone |
| 7,128,269,592 |
7,122,635,611 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 4 |
5 |
|
Number of Certified Beds |
| 50 |
50 |
|
Total Number of Residents |
| 39 |
40 |
|
Percent of Occupied Beds |
| 78 % |
80 % |
| Health Survey Date |
| 6/14/2012 |
5/3/2012 |
| Fire Survey Date |
| 6/18/2012 |
5/7/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
For 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 |
| 3 |
5 |
|
| Staff Information |
| Number of Residents |
| 39 |
40 |
| Number of RN Hours Per Resident Per Day |
| 0.68 |
0.8 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.4 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.4 |
1.2 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 11/28/2011date Of Correction: 12/16/2011 |
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 07/19/2011date Of Correction: 08/19/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 1deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 11/03/2010date Of Correction: 12/01/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 07/19/2011date Of Correction: 08/19/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 11/28/2011date Of Correction: 12/16/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 11/04/2011date Of Correction: 11/18/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 04/16/2009date Of Correction: 05/25/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 1deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 11/28/2011date Of Correction: 12/16/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27 % |
24.3 % |
| 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 |
|
16.7 % |
| Percent of long-stay residents who lose too much weight |
| 13.5 % |
2.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
6 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.1 / 8.8 |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.9:1 |
2.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
100 % |
| 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 |
| 5.3 % |
2.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.9 % |
25.2 % |
| 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 |
| 6.8 % |
6.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.20 % |
9.8 % |
| Percent of long-stay residents who lose too much weight |
| 14.5 % |
3.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.1 % |
25.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.5 % |
6.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.7 % |
1.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.6 % |
1.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 11.1 % |
1.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
28.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.1 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95 % |
12.1:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.7 % |
3.4 % |