PERRY LUTHERAN HOME

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 09/30/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Post Nurse Staffing Information. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Follow All Laws and Professional Standards. Inspection Date: 07/16/2009 Correction Date: 08/17/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/03/2008 Correction Date: 08/14/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 09/30/2010 Correction Date: 10/30/2010
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

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. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/16/2009 Correction Date: 08/17/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 09/30/2010 Correction Date: 10/30/2010

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 Perry Lutheran Home 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 10/04/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 07/08/2008 Correction Date: 08/08/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/04/2010 Correction Date: 10/12/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/08/2008 Correction Date: 08/08/2008

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 07/08/2008 Correction Date: 08/08/2008
Properly Constructed Windows in Hallway Walls or Doors. Inspection Date: 07/08/2008 Correction Date: 08/08/2008

Exit and Exit Access

At Least Two Remote Exits on Each Floor or Fire Section of the Building. Inspection Date: 07/08/2008 Correction Date: 08/08/2008

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 07/08/2008 Correction Date: 08/08/2008
Exits That Are Accessible at All Times. Inspection Date: 07/08/2008 Correction Date: 08/08/2008
Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 07/21/2009 Correction Date: 07/21/2009
Exits That Are Accessible at All Times. Inspection Date: 07/21/2009 Correction Date: 08/03/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 07/08/2008 Correction Date: 08/08/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/21/2009 Correction Date: 08/03/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 10/04/2010 Correction Date: 10/04/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 07/08/2008 Correction Date: 08/08/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/08/2008 Correction Date: 08/08/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/04/2010 Correction Date: 10/18/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/08/2008 Correction Date: 08/08/2008

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 07/08/2008 Correction Date: 08/08/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/08/2008 Correction Date: 08/08/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/08/2008 Correction Date: 08/08/2008