THE ABINGTON ON GRAND

The information listed below provides an in-depth look into the type and quality of care offered at The Abington on Grand. 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

THE ABINGTON ON GRAND
3440 GRAND AVENUE
AMES, IA 50010
(515) 232-3426

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

54%

Number of Residents and Certified Beds

Residents: 38
Certified Beds: 70

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Story City | Nevada | Boone

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 The Abington on Grand. 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	7.3%
ADL Index Range: 0-5	36.1%
Total Percent:	43.5%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	16.2%
Total Percent:	16.2%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	3.1%
ADL Index Range: 0-5	29.3%
Total Percent:	32.5%

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 - Isolation for active infectious disease	1.0%
Total Percent:	1.0%

Behavioral Symptoms and Cognitive Performance

Cognitive impairment BIMS score less than or equal to 9
CPS great than or equal to 3
Hallucinations or delusions
Physical or verbal behavioral symptoms toward others
Other behavioral symptoms
Rejection of care or wandering
Activities of Daily Living (ADL) score of 5 or less

ADL Index Range: 0-1 - Less restorative nursing	5.2%
Total Percent:	5.2%

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: 0-1 - Less restorative nursing	1.6%
Total Percent:	1.6%

Rating Details For The Abington on Grand

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	27 Minutes	53 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	36 Minutes	35 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 5 Minutes	2 Hours and 14 Minutes
Total Licensed Nurse Hours	1 Hour and 3 Minutes	1 Hour and 28 Minutes
Total Nurse Hours	3 Hours and 8 Minutes	3 Hours and 42 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 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 Worse	5%	10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	44%	44%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Lose Too Much Weight	2%	6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	5%	4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	5%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	9%	6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	2%	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	5%	13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	15%	8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	7%	16%

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 Have Delirium	-	5%
Percent of Short-Stay Residents Who Have Pressure Sores	13%	11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	18%	23%

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 03/25/2011.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Follow All Laws and Professional Standards. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Post Nurse Staffing Information. Inspection Date: 03/25/2011 Correction Date: 04/25/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Have a Program to Keep Infection from Spreading. 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 That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/25/2011 Correction Date: 04/25/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/25/2011 Correction Date: 04/25/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/25/2011 Correction Date: 04/25/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/05/2009 Correction Date: 06/03/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/25/2011 Correction Date: 04/25/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/25/2011 Correction Date: 04/25/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/25/2011 Correction Date: 04/25/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 03/25/2011 Correction Date: 04/25/2011

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: 03/25/2011 Correction Date: 04/25/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 03/25/2011 Correction Date: 04/25/2011
Let Residents Talk to and Get Information from Agencies Acting on Their Behalf. Inspection Date: 03/25/2011 Correction Date: 04/25/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/25/2011 Correction Date: 04/25/2011

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
Civil Money Penalty (CMP)	08/12/2010	$2,275
Civil Money Penalty (CMP)	08/12/2010	$3,900
Civil Money Penalty (CMP)	08/15/2008	$6,000
Denial of Payment for New Admission (DPNA)	12/17/2009	-
Denial of Payment for New Admission (DPNA)	08/12/2010	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Abington on Grand, 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