PRIME NURSING AND REHABILITATION CENTER

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

PRIME NURSING AND REHABILITATION CENTER
600 EAST FIFTH STREET
DES MOINES, IA 50309
(515) 243-6195

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

77%

Number of Residents and Certified Beds

Residents: 34
Certified Beds: 44

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Only Resident Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Pleasant Hill | West Des Moines | Urbandale

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 "Very 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 Prime Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three 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: 11-16	0.9%
ADL Index Range: 2-10	10.8%
Total Percent:	11.7%

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 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: 2-10	1.4%
Total Percent:	1.4%

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: 6-10	5.3%
ADL Index Range: 0-5	7.1%
Total Percent:	12.4%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	16.3%
ADL Index Range: 6-10	11.5%
ADL Index Range: 0-5	18.6%
Total Percent:	46.5%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	5.5%
ADL Index Range: 6-10	4.3%
Total Percent:	9.8%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	2.3%
Total Percent:	2.3%

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	3.9%
Total Percent:	3.9%

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: 15-16 - No Signs of depression	1.4%
ADL Index Range: 11-14 - No Signs of depression	0.7%
Total Percent:	2.1%

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: 15-16 - No Signs of depression	1.2%
ADL Index Range: 11-14 - No Signs of depression	5.1%
Total Percent:	6.4%

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: 6-10 - Less restorative nursing	0.2%
ADL Index Range: 2-5 - Less restorative nursing	3.4%
Total Percent:	3.5%

Rating Details For Prime Nursing and 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 Day	Reported	Expected
Registered Nurse (RN) Hours	36 Minutes	1 Hour and 21 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	59 Minutes	44 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 18 Minutes	2 Hours and 28 Minutes
Total Licensed Nurse Hours	1 Hour and 35 Minutes	2 Hours and 6 Minutes
Total Nurse Hours	3 Hours and 53 Minutes	4 Hours and 33 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 Facility

Iowa Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	2%	16%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	25%	9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	12%	4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	1%	2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	27%	44%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	20%	13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	25%	10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	10%	8%
Percent of Long-Stay Residents Who Lose Too Much Weight	19%	6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	91%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	29%	23%
Percent of Short-Stay Residents Who Have Delirium	6%	5%
Percent of Short-Stay Residents Who Have Pressure Sores	18%	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 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 Inspectors

Degree of Harm

Residents Affected

Administration

Post Nurse Staffing Information. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Follow All Laws and Professional Standards. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Have Licensed, Certified, or Registered Staff to Give Needed Services. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Have an Agreement with at Least One Hospital Certified by Medicare or Medicaid to Make Sure Residents Can Be Moved Quickly to the Hospital when They Need Medical Care. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/03/2011 Correction Date: 06/06/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/08/2009 Correction Date: 02/03/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 01/08/2009 Correction Date: 02/03/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/08/2009 Correction Date: 02/03/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/03/2011 Correction Date: 07/19/2011
Keep All Essential Equipment Working Safely. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/03/2011 Correction Date: 07/19/2011
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 02/03/2011 Correction Date: 06/06/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.

Inspection Date: 02/03/2011
Correction Date: 07/19/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/08/2009 Correction Date: 02/03/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 12/23/2009 Correction Date: 02/01/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
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: 06/06/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/08/2009 Correction Date: 02/03/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
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: 12/23/2009 Correction Date: 02/01/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/03/2011 Correction Date: 07/19/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
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: 07/19/2011
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: 02/03/2011 Correction Date: 06/06/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/03/2011 Correction Date: 06/06/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
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: 06/06/2011
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: 02/03/2011 Correction Date: 06/06/2011

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: 12/23/2009 Correction Date: 02/01/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/23/2009 Correction Date: 02/01/2010
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 02/03/2011 Correction Date: 06/06/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/03/2011 Correction Date: 07/19/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 02/03/2011 Correction Date: 07/19/2011

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 Taken	Date	Amount
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 Prime Nursing and 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 Complaints

Degree of Harm

Residents Affected