| General |
| City |
| Mason City |
Dumont |
| State attribute explanation |
| Ia |
Ia |
| Street |
| 302 Second Street Ne |
921 Third Street |
| Zip Code |
| 50,401 |
50,625 |
| Phone |
| 6,414,241,740 |
6,418,573,401 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 200 |
38 |
|
Total Number of Residents |
| 187 |
27 |
|
Percent of Occupied Beds |
| 94 % |
71 % |
| Health Survey Date |
| 4/20/2012 |
1/19/2012 |
| Fire Survey Date |
| 4/19/2012 |
1/20/2012 |
| 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? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
None |
| Continuing Care Retirement Community? |
| Yes |
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 |
| 2 |
1 |
|
| Staff Information |
| Number of Residents |
| 187 |
27 |
| Number of RN Hours Per Resident Per Day |
| 0.43 |
0.54 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.62 |
0.67 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.06 |
1.2 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.02 |
| 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: 03/15/2012date Of Correction: Not Available |
|
| Deficiency #2 |
| Scope: Somelevel 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: 03/04/2011date Of Correction: 03/25/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 10/12/2010date Of Correction: 10/26/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.4:1 |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.5 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.9 % |
|
| Percent of long-stay residents who lose too much weight |
| 4 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 33.8 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 4 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 3.6 % |
|
| Percent of long-stay residents who were physically restrained |
| 1.7 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.9:1 |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.5 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.3 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10.4 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.6 % |
28.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.5 % |
20.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.5 % |
1.4 % |
| Percent of long-stay residents who lose too much weight |
| 2.8 % |
3.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 30 % |
56.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.8 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.2 % |
2.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
17.7 % |
| Percent of long-stay residents who were physically restrained |
| 1.1 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.9 % |
2.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.1:1 |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.2 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.6 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.2 % |
|