BUCHANAN COUNTY HEALTH CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Buchanan County Health 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

BUCHANAN COUNTY HEALTH CENTER
1600 FIRST STREET EAST
INDEPENDENCE, IA 50644
(319) 334-6071

Nursing Home Ratings

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

Percent of Beds Occupied

59%

Number of Residents and Certified Beds

  • Residents: 35
  • Certified Beds: 59

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Oelwein | La Porte City | Waterloo

Rating Details For Buchanan County Health 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 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 45 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 27 Minutes
Total Nurse Hours4 Hours and 4 Minutes3 Hours and 43 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 Season90-100%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 Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight6%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores-8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection1%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder40%44%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%16%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%2%

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 05/14/2010.

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

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/08/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/02/2008
  • Correction Date: 05/27/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/22/2009
  • Correction Date: 06/22/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Buchanan County Health 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

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 08/07/2009
  • Correction Date: 08/08/2009

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 Buchanan County Health 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 05/17/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/07/2008
  • Correction Date: 05/30/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/17/2010
  • Correction Date: 05/21/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/09/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 05/17/2010
  • Correction Date: 05/20/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/17/2010
  • Correction Date: 06/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/17/2010
  • Correction Date: 06/17/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/07/2008
  • Correction Date: 05/30/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/26/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/17/2010
  • Correction Date: 05/20/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 05/07/2008
  • Correction Date: 05/30/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/17/2010
  • Correction Date: 05/25/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/17/2010
  • Correction Date: 05/20/2010
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011