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 ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-5100.0%
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 DayReportedExpected
Registered Nurse (RN) Hours41 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 15 Minutes2 Hours and 7 Minutes
Total Licensed Nurse Hours1 Hour and 18 Minutes1 Hour and 34 Minutes
Total Nurse Hours2 Hours and 33 Minutes3 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 FacilityIowa Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection14%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%2%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain13%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder20%6%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse2%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder33%44%
Percent of Long-Stay Residents Who Lose Too Much Weight3%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 InspectorsDegree of HarmResidents 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 TakenDateAmount
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 ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 08/11/2008
  • Correction Date: 09/12/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/11/2008
  • Correction Date: 09/12/2008

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 08/11/2008
  • Correction Date: 11/25/2008

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 08/11/2008
  • Correction Date: 09/12/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 08/11/2008
  • Correction Date: 11/25/2008

Fire Safety

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 The Abbey of Lemars, Inc. 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 06/06/2011.

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 InspectorsDegree of HarmResidents Affected

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 07/21/2009
  • Correction Date: 07/26/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/06/2011
  • Correction Date: 06/15/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/24/2010
  • Correction Date: 06/03/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/06/2011
  • Correction Date: 06/21/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/21/2009
  • Correction Date: 08/15/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/24/2010
  • Correction Date: 06/01/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 07/21/2009
  • Correction Date: 08/07/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 07/21/2009
  • Correction Date: 07/21/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 05/24/2010
  • Correction Date: 06/04/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/21/2009
  • Correction Date: 07/28/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/24/2010
  • Correction Date: 06/09/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 05/24/2010
  • Correction Date: 06/03/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 06/06/2011
  • Correction Date: 07/05/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/06/2011
  • Correction Date: 06/24/2011

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 05/24/2010
  • Correction Date: 06/20/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/21/2009
  • Correction Date: 07/24/2009
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011