| General |
| City |
| Iowa City |
Madrid |
| State attribute explanation |
| Ia |
Ia |
| Street |
| 701 Oaknoll Drive |
613 West North Street |
| Zip Code |
| 52,240 |
50,156 |
| Phone |
| 3,193,511,720 |
5,157,953,007 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 48 |
155 |
|
Total Number of Residents |
| 43 |
109 |
|
Percent of Occupied Beds |
| 90 % |
70 % |
| Health Survey Date |
| 2/17/2012 |
2/3/2012 |
| Fire Survey Date |
| 2/17/2012 |
2/9/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Church Related |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 4 |
9 |
|
| Staff Information |
| Number of Residents |
| 43 |
109 |
| Number of RN Hours Per Resident Per Day |
| 1.77 |
0.53 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.57 |
0.32 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.34 |
0.85 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/11/2011date Of Correction: 02/15/2011 |
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: 12/13/2011date Of Correction: 01/13/2012 |
| Deficiency #2 |
| 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: 04/14/2009date Of Correction: 05/07/2009 |
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: 04/01/2009date Of Correction: 04/15/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 12/13/2011date Of Correction: 01/13/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 11/19/2009date Of Correction: 12/22/2009 |
| 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: 12/13/2011date Of Correction: 01/13/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 11/19/2009date Of Correction: 12/22/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 11/19/2009date Of Correction: 12/22/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 04/14/2009date Of Correction: 05/07/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 12/13/2011date Of Correction: 01/13/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/15/2010date Of Correction: 08/05/2010 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 04/14/2009date Of Correction: 05/07/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 7.9:1 |
16.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
9.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
14 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
26.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.6:1 |
6 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
10 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
11.6:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
19.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
17.9 (64.2) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.7 % |
96.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 78.6 % |
98 % |
| 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 |
7.9:1 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 9.8 % |
15.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 8.1 / 8.8 |
2.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.5 % |
11.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.4 % |
9.2 % |
| Percent of long-stay residents who lose too much weight |
| 3.6 % |
8.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.9 % |
28.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.4 % |
3.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
10.7:1 |
| Percent of long-stay residents who have depressive symptoms |
| 2.7 % |
13.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
14.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.9 % |
21 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.9 % |
98 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 64.8 % |
98.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
14.3 % |