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Polk City Nursing & Rehabilitation Center
1002 WEST WASHINGTON AVENUE
Polk City, IA 50226
(515) 984-6511
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 68 |
| Number of Residents: | 52 |
| Percent of Occupied Beds: | 76% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Partnership |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071002 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20071024 |
| 20071002 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20071024 |
| 20080514 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20080514 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20080514 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080726 |
| 20080514 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Widespread | Minimal harm or potential for actual harm | 20080726 |
| 20080514 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20080726 |
| 20080514 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Actual harm | 20080726 |
| 20080612 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20080612 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm | 20080925 |
| 20080612 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20080925 |
| 20080612 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20080612 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20080612 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20080612 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20080612 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20080726 |
| 20081119 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20090129 |
| 20081119 | Health | Administration Deficiencies | Follow all laws and professional standards. | Isolated | Minimal harm or potential for actual harm | 20081209 |
| 20090420 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090501 |
| 20090420 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Potential for minimal harm | 20090525 |
| 20091130 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20091231 |
| 20091130 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20091231 |
| 20091130 | Health | Pharmacy Service Deficiencies | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Isolated | Minimal harm or potential for actual harm | 20091231 |
| 20100608 | Health | Resident Rights Deficiencies | Let the resident or the resident's representative look at all records. | Pattern | Potential for minimal harm | 20100625 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 26 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 8 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 8 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 38 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 12 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 12 | |
| Percent of long-stay residents who had a urinary tract infection: | 10 | |
| Percent of long-stay residents who lose too much weight: | 5 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 95 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 98 | |
| Percent of short-stay residents who have delirium: | 4 | |
| Percent of short-stay residents who had moderate to severe pain: | 14 | |
| Percent of short-stay residents who have pressure sores: | 9 | |
| # of Residents: | 52 |
| # RN Hours per Resident: | 0.54 |
| # LPN Hours per Resident: | 0.63 |
| # CNA Hours per Resident: | 2.27 |
| Total Staff Hours per Resident: | 1.17 |
