| General |
| City |
| Cedar Rapids |
Fontanelle |
| State attribute explanation |
| Ia |
Ia |
| Street |
| 701 Tenth Street Se |
326 Summerset Box 38 |
| Zip Code |
| 52,403 |
50,846 |
| Phone |
| 3,193,986,103 |
6,417,454,191 |
|
Overall Star Rating |
| 2 |
5 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
|
4 |
|
Quality Measures Star Rating |
| 1 |
5 |
|
RN Only Star Rating |
|
4 |
| Number of Certified Beds |
| 29 |
46 |
|
Total Number of Residents |
| 17 |
33 |
|
Percent of Occupied Beds |
| 59 % |
72 % |
| Health Survey Date |
| 6/14/2011 |
8/25/2011 |
| Fire Survey Date |
| 6/16/2011 |
8/26/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
Non Profit - Corporation |
| Located Within a Hospital? |
| Yes |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| None |
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 |
|
2 |
|
| Staff Information |
| Number of Residents |
| 20 |
33 |
| Number of RN Hours Per Resident Per Day |
|
0.63 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.76 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
1.39 |
| Number of CNA Hours Per Resident Per Day |
|
0.02 |
| Number Therapy Hours Per Resident Per Day |
|
0.02 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/26/2009date Of Correction: 07/20/2009 |
| Deficiency #2 |
|
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: 06/26/2009date Of Correction: 07/20/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
25.6 (78.1) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.8 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
|
22.1 (71.8) |
| Percent of long-stay residents who lose too much weight |
|
75.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
2.6 / 3 |
| Percent of long-stay residents who have depressive symptoms |
|
35.9 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 36.1 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94 % |
|
| 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 |
|
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
28.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
22.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
3.3 % |
| Percent of long-stay residents who lose too much weight |
|
1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
45.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
3.8 % |
| Percent of long-stay residents who have depressive symptoms |
|
26.5 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
17.8:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 37.4 % |
15.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.7 % |
88.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.3 % |
92.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.5 % |
75.2 % |