TRU REHAB OF GRINNELL
Address
415 W SIXTH AVENUE
GRINNELL, IA 50112
(641) 236-6511
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
47%Number of Residents and Certified Beds
- Residents: 35
- Certified Beds: 75
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is 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 "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 Tru Rehab of Grinnell. 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 |
High Rehabilitation
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 92.5% |
| Total Percent: | 92.5% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - No Signs of depression | 7.5% |
| Total Percent: | 7.5% |
Rating Details For Tru Rehab of Grinnell
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 | 42 Minutes | 59 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 50 Minutes | 39 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 36 Minutes | 2 Hours and 42 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 32 Minutes | 1 Hour and 37 Minutes |
| Total Nurse Hours | 4 Hours and 8 Minutes | 4 Hours and 19 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 Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 2% | 13% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 2% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 8% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 3% | 10% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 16% | 16% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 6% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 2% | 6% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 7% | 4% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 4% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 49% | 44% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 9% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 91% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 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 11/24/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
|  |  |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  |  |
Have a Program to Keep Infection from Spreading.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
| |  |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
Properly Mark Drugs and Other Similar Products.
| | |
Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| | |
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| | |
Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
| | |
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
| | |
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) | 08/05/2009 | $3,250 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Tru Rehab of Grinnell, 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 |
Administration
Follow All Laws and Professional Standards.
| | |
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
| | |
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
| | |
Set Up or Keep a Group of People to Review and Ensure Quality.
| | |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
|  | |
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Resident Assessment
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
| | |
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 Tru Rehab of Grinnell 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 11/29/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Portable Fire Extinguishers.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Portable Fire Extinguishers.
| | |
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
| | |
Building Construction
Approved Construction Type or Materials.
| | |
Building Service Equipment
Properly Protected Cooking Facilities.
| | |
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| | |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| | |
Corridor and Hallway Doors That Block Smoke.
| | |
Corridor and Hallway Doors That Block Smoke.
| | |
Electrical
Properly Installed Electrical Wiring and Equipment.
| | |
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| | |
A Fire Alarm System That Can Be Heard Throughout the Facility.
| | |
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| | |
Properly Maintained Smoke Detectors.
| | |
Furnishings and Decorations
Restrictions on the Use of Flammable Curtains.
| | |
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
| | |
Emergency Lighting That Can Last at Least 1 1/2 Hours.
| | |
Emergency Lighting That Can Last at Least 1 1/2 Hours.
| | |
Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
| | |
