POLK CITY NURSING & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Polk City Nursing & Rehabilitation 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

POLK CITY NURSING & REHABILITATION CENTER
1002 WEST WASHINGTON AVENUE
POLK CITY, IA 50226
(515) 984-6511

Nursing Home Ratings

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

Percent of Beds Occupied

84%

Number of Residents and Certified Beds

  • Residents: 57
  • Certified Beds: 68

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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Nearby Cities:

Granger | Ankeny | Johnston

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 "Medium 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 Polk City Nursing & Rehabilitation 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.1%
ADL Index Range: 0-54.8%
Total Percent:9.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1014.6%
Total Percent:14.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1629.3%
ADL Index Range: 6-103.6%
ADL Index Range: 0-510.1%
Total Percent:43.0%
 

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: 15-16
- No Signs of depression
1.2%
ADL Index Range: 11-14
- No Signs of depression
12.5%
ADL Index Range: 6-10
- No Signs of depression
6.9%
Total Percent:20.6%
 

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: 11-14
- No Signs of depression
2.4%
Total Percent:2.4%
 

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: 15-16
- Less restorative nursing
3.0%
ADL Index Range: 11-14
- Less restorative nursing
6.6%
Total Percent:9.6%
 

Rating Details For Polk City Nursing & Rehabilitation 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) Hours36 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 4 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes1 Hour and 36 Minutes
Total Nurse Hours3 Hours and 15 Minutes3 Hours and 57 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 Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%44%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%2%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%8%
Percent of Long-Stay Residents Who Lose Too Much Weight5%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%16%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased26%13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder12%6%

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 Season90-100%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 Sores9%11%
Percent of Short-Stay Residents Who Have Delirium4%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 02/03/2011.

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

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/17/2009
  • Correction Date: 07/17/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 12/15/2009
  • Correction Date: 12/31/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 12/15/2009
  • Correction Date: 12/31/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 06/17/2009
  • Correction Date: 07/17/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 02/03/2011
  • Correction Date: 03/19/2011

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
Denial of Payment for New Admission (DPNA)02/03/2011-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Polk City Nursing & Rehabilitation 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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 06/12/2008
  • Correction Date: 09/25/2008
Follow All Laws and Professional Standards.
  • Complaint Filed: 11/19/2008
  • Correction Date: 12/09/2008
Follow All Laws and Professional Standards.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011
Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 02/03/2011
  • Correction Date: 06/13/2011
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/13/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/14/2008
  • Correction Date: 07/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/12/2008
  • Correction Date: 07/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/20/2009
  • Correction Date: 05/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/03/2011
  • Correction Date: 06/13/2011
Keep Safe, Clean and Homelike Surroundings.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/13/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 11/19/2008
  • Correction Date: 01/29/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 11/30/2009
  • Correction Date: 12/31/2009
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/14/2008
  • Correction Date: 07/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/14/2008
  • Correction Date: 07/26/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 05/14/2008
  • Correction Date: 07/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 05/14/2008
  • Correction Date: 07/26/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 06/12/2008
  • Correction Date: 07/26/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/12/2008
  • Correction Date: 09/25/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 06/12/2008
  • Correction Date: 07/26/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/12/2008
  • Correction Date: 07/26/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/20/2009
  • Correction Date: 05/25/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 06/17/2009
  • Correction Date: 07/17/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 06/17/2009
  • Correction Date: 07/17/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 11/30/2009
  • Correction Date: 12/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/30/2009
  • Correction Date: 12/31/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/30/2009
  • Correction Date: 12/31/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/12/2008
  • Correction Date: 07/26/2008

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 05/14/2008
  • Correction Date: 07/26/2008
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: 06/12/2008
  • Correction Date: 07/26/2008
Let the Resident or the Resident's Representative Look at All Records.
  • Complaint Filed: 06/08/2010
  • Correction Date: 06/25/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 02/03/2011
  • Correction Date: 03/19/2011

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 Polk City Nursing & Rehabilitation 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

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/06/2011
  • Correction Date: 01/10/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/06/2011
  • Correction Date: 01/10/2011
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011