GRANGER NURSING & REHABILITATION CENTER

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

GRANGER NURSING & REHABILITATION CENTER
2001 KENNEDY STREET
GRANGER, IA 50109
(515) 999-2588

Nursing Home Ratings

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

Percent of Beds Occupied

75%

Number of Residents and Certified Beds

  • Residents: 50
  • Certified Beds: 67

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Polk City | Madrid | Dallas Center

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 "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 Granger 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • 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: 2-102.9%
Total Percent:2.9%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 2-103.1%
Total Percent:3.1%
 

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: 6-102.5%
Total Percent:2.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.7%
ADL Index Range: 6-103.1%
ADL Index Range: 0-50.4%
Total Percent:5.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.9%
ADL Index Range: 6-1010.2%
ADL Index Range: 0-56.5%
Total Percent:34.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.8%
ADL Index Range: 6-1010.9%
ADL Index Range: 0-55.0%
Total Percent:21.7%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-105.8%
Total Percent:5.8%
 

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
2.5%
ADL Index Range: 2-16
- Isolation for active infectious disease
2.7%
Total Percent:5.2%
 

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: 2-5
- No Signs of depression
4.2%
Total Percent:4.2%
 

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
- Signs of depression
0.8%
ADL Index Range: 6-10
- No Signs of depression
1.2%
Total Percent:1.9%
 

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
- Signs of depression
5.8%
ADL Index Range: 6-10
- No Signs of depression
0.6%
ADL Index Range: 2-5
- Signs of depression
3.6%
ADL Index Range: 2-5
- No Signs of depression
3.1%
Total Percent:13.1%
 

Rating Details For Granger 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) Hours45 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours34 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 1 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 19 Minutes1 Hour and 44 Minutes
Total Nurse Hours3 Hours and 20 Minutes4 Hours and 14 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 Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Who Lose Too Much Weight3%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%2%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse1%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder30%44%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious19%16%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%5%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain-23%
Percent of Short-Stay Residents Who Have Pressure Sores12%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 04/14/2011.

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

Post Nurse Staffing Information.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/19/2010
Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/29/2011
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/29/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 04/29/2010
  • Correction Date: 08/18/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/19/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/29/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/29/2010
  • Correction Date: 01/01/1900
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/19/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/19/2010
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.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/19/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/19/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/29/2011
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.
  • Inspection Date: 04/14/2011
  • Correction Date: 04/29/2011

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/29/2010

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)08/05/2009$1,268
Civil Money Penalty (CMP)11/06/2008$1,560
Civil Money Penalty (CMP)04/29/2010$4,713
Denial of Payment for New Admission (DPNA)11/06/2008-
Denial of Payment for New Admission (DPNA)08/05/2009-
Denial of Payment for New Admission (DPNA)04/29/2010-

Deficiencies from Complaints and Incidents

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

Follow All Laws and Professional Standards.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/14/2008
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/14/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/14/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/14/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 01/20/2009
  • Correction Date: 02/04/2009
Follow All Laws and Professional Standards.
  • Complaint Filed: 04/29/2010
  • Correction Date: 05/29/2010
Follow All Laws and Professional Standards.
  • Complaint Filed: 01/20/2011
  • Correction Date: 01/21/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/30/2008
  • Correction Date: 07/07/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/05/2009
  • Correction Date: 10/23/2009
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 09/21/2009
  • Correction Date: 09/22/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 04/29/2010
  • Correction Date: 08/18/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 10/20/2010
  • Correction Date: 11/19/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/14/2011
  • Correction Date: 04/29/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 04/30/2008
  • Correction Date: 07/07/2008
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/07/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/05/2009
  • Correction Date: 08/24/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/07/2008
Make Sure That Residents Are Well Nourished.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Make Sure That the Attending Doctor Orders Special Diets.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Complaint Filed: 08/05/2009
  • Correction Date: 08/24/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Complaint Filed: 02/04/2010
  • Correction Date: 03/04/2010
Hire Enough Skilled Workers to Carry out Dietary Service.
  • Complaint Filed: 02/04/2010
  • Correction Date: 03/04/2010
Make Sure That Residents Are Well Nourished.
  • Complaint Filed: 04/29/2010
  • Correction Date: 08/23/2010
Provide Food in a Way That Meets a Resident's Needs.
  • Complaint Filed: 04/29/2010
  • Correction Date: 08/18/2010
Make Sure That Residents Are Well Nourished.
  • Complaint Filed: 10/20/2010
  • Correction Date: 11/19/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 12/17/2009
  • Correction Date: 01/17/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/14/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/07/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/29/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/20/2009
  • Correction Date: 02/04/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/21/2009
  • Correction Date: 06/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/05/2009
  • Correction Date: 08/24/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 08/05/2009
  • Correction Date: 08/24/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 08/05/2009
  • Correction Date: 08/24/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 12/17/2009
  • Correction Date: 01/17/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/04/2010
  • Correction Date: 03/04/2010
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 04/29/2010
  • Correction Date: 05/29/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 04/29/2010
  • Correction Date: 05/29/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/29/2010
  • Correction Date: 08/23/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/29/2010
  • Correction Date: 05/29/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/29/2010
  • Correction Date: 05/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/29/2010
  • Correction Date: 08/18/2010

Resident Assessment

Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Complaint Filed: 04/30/2008
  • Correction Date: 06/14/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/29/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Complaint Filed: 11/06/2008
  • Correction Date: 12/22/2008

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: 04/30/2008
  • Correction Date: 06/14/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 06/19/2008
  • Correction Date: 07/07/2008
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: 11/06/2008
  • Correction Date: 12/22/2008
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: 01/20/2009
  • Correction Date: 02/04/2009
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 02/04/2010
  • Correction Date: 03/04/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/29/2010
  • Correction Date: 05/29/2010

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 Granger 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 04/25/2011.

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: 04/29/2010
  • Correction Date: 05/07/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/20/2010
  • Correction Date: 10/22/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/20/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/02/2011
Portable Fire Extinguishers.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/02/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/01/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/20/2010
  • Correction Date: 10/22/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/29/2010
  • Correction Date: 05/07/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/20/2010
  • Correction Date: 10/26/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/02/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/02/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/02/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/08/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/20/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/20/2010
  • Correction Date: 10/26/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 10/20/2010
  • Correction Date: 10/22/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 10/20/2010
  • Correction Date: 10/27/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/01/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/01/2010
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011