| General |
| City |
| Columbia |
Zwolle |
| State attribute explanation |
| La |
La |
| Street |
| 7726 Us Hwy. 165 |
1009 N Obrie Street |
| Zip Code |
| 71,418 |
71,486 |
| Phone |
| 3,186,499,800 |
3,186,452,800 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
2 |
|
Quality Measures Star Rating |
| 3 |
2 |
|
RN Only Star Rating |
| 1 |
2 |
|
Number of Certified Beds |
| 99 |
80 |
|
Total Number of Residents |
| 67 |
55 |
|
Percent of Occupied Beds |
| 68 % |
69 % |
| Health Survey Date |
| 6/23/2011 |
10/12/2011 |
| Fire Survey Date |
| 6/21/2011 |
10/12/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| 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 |
| 67 |
55 |
| Number of RN Hours Per Resident Per Day |
| 0.3 |
0.34 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.32 |
0.86 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.62 |
1.2 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.15 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.15 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/05/2009date Of Correction: 11/11/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 10/05/2009date Of Correction: 11/11/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Follow Policies And Procedures To Convey The Resident's Personal Funds To The Appropriate Party Responsible After The Resident's Death.survey Date: 10/05/2009date Of Correction: 11/11/2009 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.survey Date: 10/05/2009date Of Correction: Not Available |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25.9 % |
24 % |
| 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 |
| 5 % |
16.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
9.7 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
3.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 8.8 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
16 % |
| Percent of long-stay residents with a urinary tract infection |
| 10.5 % |
11.8:1 |
| Percent of long-stay residents who have depressive symptoms |
| 1.7 % |
4.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 71.1 % |
87.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 75 % |
83.3 % |
| 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 % |
5.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.5 % |
26.3 (79.3) |
| 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 |
| 8.2 % |
15.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.3:1 |
8.2 % |
| Percent of long-stay residents who lose too much weight |
| 11.5 % |
2.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 13.1:1 |
25 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.7 % |
15.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 13.2 % |
10.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.5 - 2.0 |
3.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.9 % |
6.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 9 % |
16.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 71.1 % |
87.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 73 % |
26.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20.1 % |
4.5 % |