CREST HAVEN CARE CENTRE

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

CREST HAVEN CARE CENTRE
1000 EAST HOWARD
CRESTON, IA 50801
(641) 782-5012

Nursing Home Ratings

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

Percent of Beds Occupied

97%

Number of Residents and Certified Beds

  • Residents: 33
  • Certified Beds: 34

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:

Afton | Lenox | Greenfield

Resident Services

The information below lists services this facility has provided for residents from November 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 Crest Haven Care Centre. 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

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1683.3%
Total Percent:83.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1616.7%
Total Percent:16.7%
 

Rating Details For Crest Haven Care Centre

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) Hours43 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours33 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 33 Minutes
Total Licensed Nurse Hours1 Hour and 16 Minutes
Total Nurse Hours3 Hours and 49 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 Season88%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%94%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%44%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%16%
Percent of Long-Stay Residents Who Lose Too Much Weight4%6%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-2%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination62%91%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season69%91%

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 03/24/2011.

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

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/03/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/03/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/25/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/25/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/25/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/03/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/03/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/03/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/25/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/25/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/25/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/11/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Crest Haven Care Centre, 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: 08/20/2008
  • Correction Date: 09/26/2008

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Complaint Filed: 08/20/2008
  • Correction Date: 09/26/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 08/20/2008
  • Correction Date: 09/26/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 08/20/2008
  • Correction Date: 09/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/29/2009
  • Correction Date: 02/16/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 08/20/2008
  • Correction Date: 09/26/2008

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 Crest Haven Care Centre 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 03/23/2011.

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

Portable Fire Extinguishers.
  • Inspection Date: 03/23/2011
  • Correction Date: 04/04/2011
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 03/23/2011
  • Correction Date: 04/04/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 03/04/2010
  • Correction Date: 03/14/2010
Properly Protected Cooking Facilities.
  • Inspection Date: 03/23/2011
  • Correction Date: 04/04/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/04/2010
  • Correction Date: 03/16/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/25/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/23/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 03/23/2011
  • Correction Date: 04/04/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/28/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/04/2010
  • Correction Date: 03/17/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/04/2010
  • Correction Date: 03/17/2010
Properly Maintained Smoke Detectors.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/25/2011
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 03/23/2011
  • Correction Date: 04/04/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/23/2011
  • Correction Date: 04/23/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/24/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/04/2010
  • Correction Date: 03/17/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/23/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/23/2011
  • Correction Date: 04/04/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/24/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/02/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 03/23/2011
  • Correction Date: 03/25/2011
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011