QHC WINTERSET NORTH, LLC

The information listed below provides an in-depth look into the type and quality of care offered at Qhc Winterset North, LLC. 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

QHC WINTERSET NORTH, LLC
411 EAST LANE STREET
WINTERSET, IA 50273
(515) 462-1571

Nursing Home Ratings

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

Percent of Beds Occupied

69%

Number of Residents and Certified Beds

  • Residents: 62
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Adel | West Des Moines | Norwalk

Resident Services

The information below lists services this facility has provided for residents from October 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 Qhc Winterset North, LLC. 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: 11-1634.8%
ADL Index Range: 0-513.0%
Total Percent:47.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1630.4%
Total Percent:30.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-166.5%
ADL Index Range: 0-515.2%
Total Percent:21.7%
 

Rating Details For Qhc Winterset North, LLC

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) Hours26 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 8 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 4 Minutes1 Hour and 27 Minutes
Total Nurse Hours3 Hours and 12 Minutes3 Hours and 51 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 Ability to Move About in and Around Their Room Got Worse4%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%2%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%16%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder54%44%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Lose Too Much Weight7%6%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%91%

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 08/26/2010.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/03/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 04/24/2008
  • Correction Date: 06/03/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/03/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/03/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/03/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/03/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Qhc Winterset North, LLC, 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

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/03/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/03/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/03/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/03/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/03/2008

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/03/2008

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 Qhc Winterset North, LLC 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 08/24/2010.

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

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009
Portable Fire Extinguishers.
  • Inspection Date: 06/09/2009
  • Correction Date: 06/25/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/01/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/01/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/01/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/09/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/01/2010
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011