SHADY REST CARE CENTER
Address
701 NORTH JOHNSON STREET NW
CASCADE, IA 52033
(563) 852-3277
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 58
- Certified Beds: 70
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
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 "Medium 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 Shady Rest Care Center. 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 |
Medium Rehabilitation Plus Extensive Services
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-10 | 1.7% |
Total Percent: | 1.7% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 3.3% |
ADL Index Range: 6-10 | 15.3% |
ADL Index Range: 0-5 | 13.6% |
Total Percent: | 32.2% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 3.3% |
ADL Index Range: 6-10 | 22.4% |
ADL Index Range: 0-5 | 28.6% |
Total Percent: | 54.4% |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16 - Isolation for active infectious disease | 3.3% |
Total Percent: | 3.3% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10 - Signs of depression | 1.9% |
ADL Index Range: 6-10 - No Signs of depression | 1.9% |
ADL Index Range: 2-5 - No Signs of depression | 3.3% |
Total Percent: | 7.2% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
ADL Index Range: 15-16 - Less restorative nursing | 1.2% |
Total Percent: | 1.2% |
Rating Details For Shady Rest Care Center
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 | 44 Minutes | 49 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 31 Minutes | 35 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 43 Minutes | 2 Hours and 28 Minutes |
Total Licensed Nurse Hours | 1 Hour and 15 Minutes | 1 Hour and 24 Minutes |
Total Nurse Hours | 3 Hours and 58 Minutes | 3 Hours and 52 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 Who Have/Had a Catheter Inserted and Left in Their Bladder | - | 6% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 10% | 9% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 4% | 2% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 32% | 16% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 47% | 44% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 17% | 10% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 12% | 13% |
Percent of Long-Stay Residents Who Were Physically Restrained | 5% | 4% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 8% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 5% | 6% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 91% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 5% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 12% | 23% |
Percent of Short-Stay Residents Who Have Pressure Sores | 7% | 11% |
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 04/29/2011.
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
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
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Environmental
Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Keep All Essential Equipment Working Safely.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Professional Services That Meet a Professional Standard of Quality.
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Resident Assessment
Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
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.
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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 Shady Rest 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 05/04/2011.
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 |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Exits and Egress
Exits That Are Accessible at All Times.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
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Properly Maintained Smoke Detectors.
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An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Properly Located and Lighted "Exit" Signs.
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Properly Located and Lighted "Exit" Signs.
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Medical Gases and Anesthetizing Areas
No-Smoking Signs Where Oxygen is Used.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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