POCAHONTAS MANOR CARE CENTER

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Iowa are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/19/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Follow All Laws and Professional Standards. Inspection Date: 05/08/2009 Correction Date: 06/08/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/08/2009 Correction Date: 06/08/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/08/2009 Correction Date: 06/08/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 02/19/2010 Correction Date: 03/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/08/2009 Correction Date: 06/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/08/2009 Correction Date: 06/08/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 05/08/2009 Correction Date: 06/08/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/19/2010 Correction Date: 03/19/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/19/2010 Correction Date: 03/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/19/2010 Correction Date: 03/19/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 05/22/2008 Correction Date: 06/30/2008

Resident Rights

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. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/22/2008 Correction Date: 06/30/2008
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. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

The table below lists incident reports by the nursing staff or administration for Pocahontas Manor Care Center, as well as complaints by residents or their family in the previous three years.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Complaint Filed: 09/02/2009 Correction Date: 10/02/2009
Have Licensed, Certified, or Registered Staff to Give Needed Services. Complaint Filed: 09/02/2009 Correction Date: 10/02/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/25/2011 Correction Date: 04/25/2011

Quality Care

Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Complaint Filed: 01/28/2009 Correction Date: 02/24/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 03/25/2011 Correction Date: 04/25/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 03/25/2011 Correction Date: 04/25/2011

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Pocahontas Manor Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/19/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/23/2009 Correction Date: 04/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/23/2009 Correction Date: 03/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/23/2008 Correction Date: 06/23/2008
Approved Construction Type or Materials. Inspection Date: 03/23/2009 Correction Date: 04/23/2009
Approved Construction Type or Materials. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/23/2008 Correction Date: 06/23/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/23/2009 Correction Date: 04/23/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/23/2008 Correction Date: 06/23/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/23/2009 Correction Date: 04/23/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/23/2008 Correction Date: 06/23/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/23/2009 Correction Date: 04/23/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/23/2009 Correction Date: 04/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/19/2010 Correction Date: 03/19/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 05/23/2008 Correction Date: 06/23/2008
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/23/2009 Correction Date: 04/23/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/23/2008 Correction Date: 06/23/2008