ST ANTHONY'S REGIONAL HOSPITAL

Nursing Home Inspector

406 EAST ANTHONY STREET
CARROLL, IA 51401
Carroll County
Phone: 712-794-5455
Provider Number: 16E071
Last Inspection: 09/08/2016

About the Nursing Home

Number of Beds: 79
Number of Residents: 78
Beds Available: 1
Percent Occupancy: 99%
Insurance Accepted: Medicaid
Types of Councils: Resident
Ownership: Non profit - Church related
Within Hospital?: YES

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

 

0

Facility
8

County
10

IA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2016
10

2015
10

2014

Medicare Ratings

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

 

Details by Inspection Date

11/5/2015 Inspection

 
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 12/3/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 12/3/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/3/2015
 

9/18/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 9/23/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 10/13/2014
 
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 9/18/2014
 

Complaint Investigation Deficiencies

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

7/25/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 8/4/2017
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Potential 3 8/18/2017
 

6/23/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 7/18/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IA State Avg
Number of Residents 78 51.40 53.91
Registered Nurses 0.56 0.60 0.80
Licensed Practical / Vocational Nurses 0.66 0.77 0.60
Certified Nursing Assistants 2.61 2.65 2.39
Total Staff Hours 3.83 4.02 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 6 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 96
of long-stay residents experiencing one or more falls with major injury 5 3 3
of long-stay residents who have depressive symptoms 0 2 4
of long-stay residents who lose too much weight 7 7 6
of long-stay residents who received an antianxiety or hypnotic medication 15 19 21
of long-stay residents who received an antipsychotic medication 18 13 15
of long-stay residents who self-report moderate to severe pain 6 2 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 11 16 18
of long-stay residents whose need for help with daily activities has increased 11 14 16
of long-stay residents with a catheter inserted and left in their bladder 3 2 2
of long-stay residents with a urinary tract infection 5 6 5
of low risk long-stay residents who lose control of their bowels or bladder 47 36 41
of short-stay residents assessed and appropriately given the pneumococcal vaccine 79 87 86
of short-stay residents who self-report moderate to severe pain 13 5 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 72 77
of short-stay residents with pressure ulcers that are new or worsened 0 0 1