THE ABBEY OF LEMARS, INC.

The information listed below provides an in-depth look into the type and quality of care offered at The Abbey of Lemars, Inc.. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

THE ABBEY OF LEMARS, INC.
320 FIRST AVENUE SE
LE MARS, IA 51031
(712) 546-7844

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

46%

Number of Residents and Certified Beds

Residents: 24
Certified Beds: 52

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Partnership
Offers Only Resident Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Remsen | Orange City | Marcus

Resident Services

The information below lists services this facility has provided for residents from December through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Abbey of Lemars, Inc.. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	100.0%
Total Percent:	100.0%

Rating Details For The Abbey of Lemars, Inc.

Nursing Staff -

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.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	41 Minutes	55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	36 Minutes	38 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 15 Minutes	2 Hours and 7 Minutes
Total Licensed Nurse Hours	1 Hour and 18 Minutes	1 Hour and 34 Minutes
Total Nurse Hours	2 Hours and 33 Minutes	3 Hours and 41 Minutes

Quality of Care -

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.

This Facility

Iowa Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	9%	13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	14%	9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	5%	2%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	13%	4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	20%	6%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	17%	16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	2%	10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	33%	44%
Percent of Long-Stay Residents Who Lose Too Much Weight	3%	6%

Health Inspection Details -

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 06/03/2011.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled. Inspection Date: 07/17/2009 Correction Date: 08/17/2009
Post Nurse Staffing Information. Inspection Date: 05/21/2010 Correction Date: 05/24/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/03/2011 Correction Date: 06/24/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 07/17/2009 Correction Date: 08/17/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/17/2009 Correction Date: 08/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/21/2010 Correction Date: 06/09/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/21/2010 Correction Date: 06/15/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 07/17/2009 Correction Date: 08/17/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 05/21/2010 Correction Date: 05/28/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/21/2010 Correction Date: 06/18/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/03/2011 Correction Date: 06/24/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/17/2009 Correction Date: 08/17/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 05/21/2010 Correction Date: 06/15/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/21/2010 Correction Date: 06/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 06/03/2011 Correction Date: 06/24/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 06/03/2011 Correction Date: 06/24/2011

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 07/17/2009 Correction Date: 08/17/2009
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: 05/21/2010 Correction Date: 06/15/2010
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 05/21/2010 Correction Date: 06/01/2010
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 05/21/2010 Correction Date: 06/02/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/21/2010 Correction Date: 06/15/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 06/03/2011 Correction Date: 06/24/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	08/11/2008	$6,110
Denial of Payment for New Admission (DPNA)	08/11/2008	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Abbey of Lemars, Inc., as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected