| General |
| City |
| Iowa City |
Carroll |
| State attribute explanation |
| Ia |
Ia |
| Street |
| 701 Oaknoll Drive |
500 East Valley Drive |
| Zip Code |
| 52,240 |
51,401 |
| Phone |
| 3,193,511,720 |
7,127,929,281 |
|
Overall Star Rating |
| 3 |
4 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
| 5 |
3 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 48 |
51 |
|
Total Number of Residents |
| 43 |
36 |
|
Percent of Occupied Beds |
| 90 % |
71 % |
| Health Survey Date |
| 2/17/2012 |
8/25/2011 |
| Fire Survey Date |
| 2/17/2012 |
8/30/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| 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 |
2 |
|
| Staff Information |
| Number of Residents |
| 43 |
36 |
| Number of RN Hours Per Resident Per Day |
| 1.77 |
0.77 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.57 |
0.69 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.34 |
1.47 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.02 |
| 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: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/30/2010date Of Correction: 04/13/2010 |
| 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 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 02/04/2010date Of Correction: 03/05/2010 |
| 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 |
|
| 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 |
32.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.6:1 |
|
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
3.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
9.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.7 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 78.6 % |
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 |
| 2.6 / 3 |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 9.8 % |
29.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 8.1 / 8.8 |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.5 % |
6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.4 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 3.6 % |
2.20 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.9 % |
40 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.4 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
1.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.7 % |
11.7 % |
| 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 |
| 1.8 % |
1.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.9 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.9 % |
96.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 64.8 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
3.4 % |