ADEL ASSISTED LIVING & NURSING

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 Adel Assisted Living & Nursing. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 03/11/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 01/28/2010 Correction Date: 05/06/2010
Have Licensed, Certified, or Registered Staff to Give Needed Services. Inspection Date: 01/28/2010 Correction Date: 03/18/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/11/2011 Correction Date: 04/09/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/28/2010 Correction Date: 05/06/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/28/2010 Correction Date: 03/18/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/26/2009 Correction Date: 03/25/2009

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/28/2010 Correction Date: 03/18/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/28/2010 Correction Date: 03/18/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/11/2011 Correction Date: 04/09/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/11/2011 Correction Date: 04/09/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 02/26/2009 Correction Date: 03/25/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 02/26/2009 Correction Date: 03/25/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/26/2009 Correction Date: 03/25/2009

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.

The table below lists incident reports by the nursing staff or administration for Adel Assisted Living & Nursing, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/21/2009 Correction Date: 10/08/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/03/2009 Correction Date: 12/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 06/16/2010 Correction Date: 06/30/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 02/24/2010 Correction Date: 03/18/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 12/03/2009 Correction Date: 12/22/2009

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Complaint Filed: 12/03/2009 Correction Date: 12/22/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 12/03/2009 Correction Date: 12/22/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 02/24/2010 Correction Date: 03/18/2010

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 Adel Assisted Living & Nursing 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 03/22/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/27/2010 Correction Date: 02/01/2010
Portable Fire Extinguishers. Inspection Date: 01/27/2010 Correction Date: 01/29/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/22/2011 Correction Date: 03/22/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 01/27/2010 Correction Date: 01/29/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 03/04/2009 Correction Date: 03/04/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 01/27/2010 Correction Date: 02/04/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/27/2010 Correction Date: 01/29/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/22/2011 Correction Date: 03/23/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/04/2009 Correction Date: 03/04/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/27/2010 Correction Date: 02/04/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/27/2010 Correction Date: 02/27/2010
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 03/22/2011 Correction Date: 04/19/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/04/2009 Correction Date: 03/13/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/27/2010 Correction Date: 02/02/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 01/27/2010 Correction Date: 01/29/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/27/2010 Correction Date: 01/29/2010
No-Smoking Signs Where Oxygen is Used. Inspection Date: 01/27/2010 Correction Date: 02/04/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/27/2010 Correction Date: 02/08/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/27/2010 Correction Date: 02/03/2010