KEOTA HEALTH CARE CENTER

Nursing Home Inspector

204 NORTH KEOKUK WASHINGTON ROAD
KEOTA, IA 52248
Keokuk County
Phone: 641-636-3400
Provider Number: 165355
Last Inspection: 02/09/2017

About the Nursing Home

Number of Beds: 42
Number of Residents: 20
Beds Available: 22
Percent Occupancy: 48%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

9

Facility
16

County
10

IA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2017
24

2016
11

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 3/9/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 3/9/2017
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 3/9/2017
 

3/3/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 3/21/2016
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Isolated : Minimal 3 3/21/2016
 
Failed To: Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated : Minimal 3 3/21/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/21/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/21/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 3/21/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 3/21/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Potential 3 3/21/2016
 

4/2/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 4/16/2015
 
Failed To: Hire sufficient dietary support personnel. Pattern : Minimal 4 4/16/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/16/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

5/25/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 6/24/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IA State Avg
Number of Residents 20 36.00 53.91
Registered Nurses 1.43 0.83 0.80
Licensed Practical / Vocational Nurses 0.70 0.76 0.60
Certified Nursing Assistants 2.33 2.19 2.39
Total Staff Hours 4.46 3.78 3.79

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% IA State Avg%
of high risk long-stay residents with pressure ulcers 12 7 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 66 77 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 92 96
of long-stay residents experiencing one or more falls with major injury 4 3 3
of long-stay residents who have depressive symptoms 2 2 4
of long-stay residents who lose too much weight 5 3 6
of long-stay residents who received an antianxiety or hypnotic medication 16 15 21
of long-stay residents who received an antipsychotic medication 17 12 15
of long-stay residents who self-report moderate to severe pain 12 9 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 17 18
of long-stay residents whose need for help with daily activities has increased 18 16 16
of long-stay residents with a catheter inserted and left in their bladder 0 1 2
of long-stay residents with a urinary tract infection 8 5 5
of low risk long-stay residents who lose control of their bowels or bladder 24 37 41
of short-stay residents assessed and appropriately given the pneumococcal vaccine 46 51 86
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 43 Not Available   12
of short-stay residents with pressure ulcers that are new or worsened 0 85 77