PELLA REGIONAL HEALTH CENTER
Address
404 JEFFERSON
PELLA, IA 50219
(641) 628-3150
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 57
- Certified Beds: 128
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Other
- Offers Only Resident Counseling
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
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 Pella Regional Health 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
- 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: 2-10 | 2.7% |
Total Percent: | 2.7% |
Very High Rehabilitation Plus Extensive Services
- 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 | 3.8% |
Total Percent: | 3.8% |
High Rehabilitation Plus Extensive Services
- 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 | 4.5% |
Total Percent: | 4.5% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 6-10 | 7.1% |
ADL Index Range: 0-5 | 5.4% |
Total Percent: | 12.5% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 0.2% |
ADL Index Range: 6-10 | 7.7% |
ADL Index Range: 0-5 | 35.0% |
Total Percent: | 42.8% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 6.2% |
ADL Index Range: 6-10 | 5.3% |
ADL Index Range: 0-5 | 15.5% |
Total Percent: | 26.9% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-5 | 3.5% |
Total Percent: | 3.5% |
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 | 1.5% |
Total Percent: | 1.5% |
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: 6-10 - Signs of depression | 1.1% |
ADL Index Range: 2-5 - No Signs of depression | 0.8% |
Total Percent: | 1.8% |
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% |
Total Percent: | 0.2% |
Rating Details For Pella Regional Health 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 | 49 Minutes | 52 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 60 Minutes | 35 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 36 Minutes | 2 Hours and 21 Minutes |
Total Licensed Nurse Hours | 1 Hour and 49 Minutes | 1 Hour and 27 Minutes |
Total Nurse Hours | 4 Hours and 25 Minutes | 3 Hours and 48 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 | 88% | 93% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 4% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 55% | 44% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 18% | 8% |
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 Worse | 8% | 10% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 11% | 16% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 2% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 11% | 13% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 6% | 6% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 11% | 9% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 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 Have Pressure Sores | 8% | 11% |
Percent of Short-Stay Residents Who Have Delirium | 2% | 5% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 33% | 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 05/06/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|
Environmental
Keep Safe, Clean and Homelike Surroundings.
| ||
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
| ||
Keep Safe, Clean and Homelike Surroundings.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
|
Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
| ||
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
| ||
Make Sure That the Attending Doctor Orders Special Diets.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Make Sure That the Attending Doctor Orders Special Diets.
|
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Develop/Implement Required Procedures for the Administration of Immunizations.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Develop/Implement Required Procedures for the Administration of Immunizations.
| ||
Provide Activities to Meet the Needs of Each Resident.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Professional Services That Follow Each Resident's Written Care Plan.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| ||
Make Sure That Each Resident's Nutritional Needs Were Met.
|
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.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
Resident Rights
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| ||
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.
|
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Pella Regional Health 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 |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|
Mistreatment
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
|
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 Pella Regional Health 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 05/13/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| ||
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
|
Building Construction
Approved Construction Type or Materials.
|
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| ||
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
|
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
|
Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
|
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
|
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
|
Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
|
Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
| ||
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
|