WASHINGTON COUNTY HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Washington County Hospital. 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

WASHINGTON COUNTY HOSPITAL
400 EAST POLK
WASHINGTON, IA 52353
(319) 863-3958

Nursing Home Ratings

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

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 40
  • Certified Beds: 43

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Wayland | Kalona | Keota

Rating Details For Washington County Hospital

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) Hours1 Hour and 11 Minutes50 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours26 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 25 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 37 Minutes1 Hour and 25 Minutes
Total Nurse Hours4 Hours and 2 Minutes3 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 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 Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%6%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%44%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Who Lose Too Much Weight8%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%2%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%16%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%13%

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 11/10/2010.

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: 10/09/2008
  • Correction Date: 11/23/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/23/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/23/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/23/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/31/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/23/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/31/2010

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: 09/23/2009
  • Correction Date: 10/23/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/23/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/23/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/23/2009
  • Correction Date: 10/23/2009

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 Washington County Hospital 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 11/17/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/14/2008
  • Correction Date: 11/14/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/14/2008
  • Correction Date: 10/29/2008
Portable Fire Extinguishers.
  • Inspection Date: 10/14/2008
  • Correction Date: 10/14/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/04/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/17/2010
  • Correction Date: 12/17/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 10/14/2008
  • Correction Date: 11/14/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/29/2009
  • Correction Date: 09/29/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/14/2008
  • Correction Date: 10/24/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/29/2009
  • Correction Date: 10/04/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/14/2008
  • Correction Date: 11/14/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/14/2008
  • Correction Date: 11/14/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/14/2008
  • Correction Date: 10/16/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 11/17/2010
  • Correction Date: 11/22/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 11/17/2010
  • Correction Date: 11/18/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/14/2008
  • Correction Date: 10/16/2008
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011