WASHINGTON CARE CENTER

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

WASHINGTON CARE CENTER
P O BOX 946
WASHINGTON, IA 52353
(319) 653-6526

Nursing Home Ratings

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

Percent of Beds Occupied

60%

Number of Residents and Certified Beds

  • Residents: 54
  • Certified Beds: 90

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:

Davenport

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 "Medium 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 Washington Care 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-57.9%
Total Percent:7.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-528.9%
Total Percent:28.9%
 

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: 6-10
- No Signs of depression
15.8%
Total Percent:15.8%
 

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: 2-5
- Less restorative nursing
7.9%
ADL Index Range: 0-1
- Less restorative nursing
13.2%
Total Percent:21.1%
 

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
13.2%
ADL Index Range: 0-1
- Less restorative nursing
13.2%
Total Percent:26.3%
 

Rating Details For Washington Care 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) Hours50 Minutes46 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours14 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 9 Minutes1 Hour and 58 Minutes
Total Licensed Nurse Hours1 Hour and 3 Minutes1 Hour and 20 Minutes
Total Nurse Hours3 Hours and 12 Minutes3 Hours and 19 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 Infection5%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%16%
Percent of Long-Stay Residents Who Lose Too Much Weight2%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder31%44%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-2%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%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 03/17/2011.

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

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/20/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/20/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/20/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 03/04/2010
  • Correction Date: 01/01/1900
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/20/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 03/04/2010
  • Correction Date: 01/01/1900
Hire a Qualified Dietician.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/20/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/20/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/29/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011

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: 02/26/2009
  • Correction Date: 03/20/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011

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: 02/26/2009
  • Correction Date: 03/20/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/20/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/17/2011

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 TakenDateAmount
Civil Money Penalty (CMP)11/30/2010$3,250

Deficiencies from Complaints and Incidents

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/22/2009
  • Correction Date: 08/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/06/2010
  • Correction Date: 07/26/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 11/30/2010
  • Correction Date: 01/28/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/04/2011
  • Correction Date: 01/28/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 11/30/2010
  • Correction Date: 01/28/2011

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets.
  • Complaint Filed: 04/09/2008
  • Correction Date: 04/30/2008

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 11/30/2010
  • Correction Date: 01/28/2011

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 Care 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 03/21/2011.

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

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/21/2011
  • Correction Date: 03/25/2011
Portable Fire Extinguishers.
  • Inspection Date: 03/21/2011
  • Correction Date: 03/30/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/09/2009
Approved Construction Type or Materials.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/09/2010
Approved Construction Type or Materials.
  • Inspection Date: 03/21/2011
  • Correction Date: 03/23/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/09/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/09/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/09/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/21/2011
  • Correction Date: 03/22/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/20/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/09/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/02/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/09/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/09/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/21/2011
  • Correction Date: 03/25/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/09/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/09/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/19/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/09/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/09/2010
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011