DUBUQUE NURSING & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Dubuque Nursing & Rehab Center. 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

DUBUQUE NURSING & REHAB CENTER
2935 KAUFMANN AVENUE
DUBUQUE, IA 52001
(563) 556-0673

Nursing Home Ratings

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

Percent of Beds Occupied

66%

Number of Residents and Certified Beds

  • Residents: 65
  • Certified Beds: 98

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Dyersville | Cascade | Bellevue

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 Dubuque Nursing & Rehab Center. 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

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-162.7%
ADL Index Range: 0-518.9%
Total Percent:21.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-538.3%
Total Percent:38.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.7%
ADL Index Range: 6-1013.7%
ADL Index Range: 0-55.5%
Total Percent:24.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.5%
ADL Index Range: 6-108.2%
ADL Index Range: 0-51.2%
Total Percent:11.9%
 

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
- Tracheostomy care or ventilator/respirator
0.2%
Total Percent:0.2%
 

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
2.5%
Total Percent:2.5%
 

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: 0-1
- No Signs of depression
0.2%
Total Percent:0.2%
 

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: 2-5
- Less restorative nursing
0.2%
Total Percent:0.2%
 

Rating Details For Dubuque Nursing & Rehab 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 DayReportedExpected
Registered Nurse (RN) Hours44 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours40 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 46 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 10 Minutes4 Hours and 11 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 Given Influenza Vaccination During the Flu Season90%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%2%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%16%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%13%
Percent of Long-Stay Residents Who Lose Too Much Weight4%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%44%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season57%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain31%23%
Percent of Short-Stay Residents Who Have Delirium1%5%
Percent of Short-Stay Residents Who Have Pressure Sores10%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 01/07/2011.

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

Follow All Laws and Professional Standards.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/02/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/02/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/02/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/02/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/02/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/22/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/02/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/02/2009
  • Correction Date: 03/02/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/22/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/22/2010

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/22/2010

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)04/13/2010$2,925

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Dubuque Nursing & Rehab Center, 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

Post Nurse Staffing Information.
  • Complaint Filed: 04/13/2010
  • Correction Date: 05/13/2010
Follow All Laws and Professional Standards.
  • Complaint Filed: 04/13/2010
  • Correction Date: 05/13/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/13/2010
  • Correction Date: 05/13/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/24/2009
  • Correction Date: 07/24/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/23/2009
  • Correction Date: 08/23/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 09/03/2009
  • Correction Date: 10/03/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 09/03/2009
  • Correction Date: 10/03/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 09/03/2009
  • Correction Date: 10/03/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 09/03/2009
  • Correction Date: 10/03/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 04/13/2010
  • Correction Date: 05/13/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 04/13/2010
  • Correction Date: 05/13/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/13/2010
  • Correction Date: 05/13/2010

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Complaint Filed: 04/13/2010
  • Correction Date: 05/13/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 09/03/2009
  • Correction Date: 10/03/2009

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 Dubuque Nursing & Rehab 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 01/06/2011.

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

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/06/2011
  • Correction Date: 02/06/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/10/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/25/2010
  • Correction Date: 02/25/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 01/06/2011
  • Correction Date: 01/14/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/25/2010
  • Correction Date: 01/25/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/16/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/17/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 01/06/2011
  • Correction Date: 02/06/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/06/2011
  • Correction Date: 02/06/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/06/2011
  • Correction Date: 02/06/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 01/25/2010
  • Correction Date: 01/25/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 01/06/2011
  • Correction Date: 02/06/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/23/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/25/2010
  • Correction Date: 02/25/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/06/2011
  • Correction Date: 01/14/2011

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 01/06/2011
  • Correction Date: 02/06/2011
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011