REGENCY CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Regency Care 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

REGENCY CARE CENTER
815 HIGH ROAD
NORWALK, IA 50211
(515) 981-4269

Nursing Home Ratings

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

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 84
  • Certified Beds: 101

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

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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 "Ultra-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 Regency Care 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: 6-103.0%
ADL Index Range: 0-551.7%
Total Percent:54.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-528.6%
Total Percent:28.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.2%
ADL Index Range: 6-102.8%
ADL Index Range: 0-53.0%
Total Percent:9.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-55.1%
Total Percent:5.1%
 

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
0.9%
Total Percent:0.9%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.1%
Total Percent:1.1%
 

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
0.6%
Total Percent:0.6%
 

Rating Details For Regency 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 DayReportedExpected
Registered Nurse (RN) Hours28 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours37 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 31 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours1 Hour and 5 Minutes1 Hour and 37 Minutes
Total Nurse Hours3 Hours and 36 Minutes3 Hours and 54 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%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection16%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious42%16%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%2%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%44%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%13%
Percent of Long-Stay Residents Who Lose Too Much Weight8%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%91%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%23%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%
Percent of Short-Stay Residents Who Have Delirium2%5%

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 05/05/2011.

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

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/22/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/02/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/05/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Regency Care 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

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Complaint Filed: 10/16/2008
  • Correction Date: 10/30/2008
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Complaint Filed: 05/12/2009
  • Correction Date: 06/07/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/11/2009
  • Correction Date: 07/22/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 06/11/2009
  • Correction Date: 07/22/2009
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 06/11/2009
  • Correction Date: 07/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/21/2009
  • Correction Date: 01/08/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/06/2010
  • Correction Date: 08/05/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 06/11/2009
  • Correction Date: 07/22/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 06/30/2011
  • Correction Date: 01/01/1900

Quality Care

Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 05/12/2009
  • Correction Date: 06/07/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 05/12/2009
  • Correction Date: 06/07/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/11/2009
  • Correction Date: 07/22/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/11/2009
  • Correction Date: 07/22/2009

Resident Rights

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.
  • Complaint Filed: 08/08/2008
  • Correction Date: 09/10/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 10/16/2008
  • Correction Date: 10/30/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 02/13/2009
  • Correction Date: 03/19/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 03/04/2011
  • Correction Date: 04/06/2011

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 Regency 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 05/06/2011.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/18/2009
  • Correction Date: 07/02/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/01/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/01/2010
Portable Fire Extinguishers.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/30/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/13/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/01/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/14/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/30/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/14/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/06/2011
  • Correction Date: 05/19/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/01/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 06/18/2009
  • Correction Date: 07/02/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/16/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/18/2009
  • Correction Date: 07/18/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/03/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/06/2011
  • Correction Date: 05/20/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/30/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/01/2010
  • Correction Date: 09/10/2010
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011