DEERFIELD RETIREMENT COMMUNITY INC
The information listed below provides an in-depth look into the type and quality of care offered at Deerfield Retirement Community Inc. 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
DEERFIELD RETIREMENT COMMUNITY INC
13731 HICKMAN ROAD
URBANDALE, IA 50323
(515) 267-0438
13731 HICKMAN ROAD
URBANDALE, IA 50323
(515) 267-0438
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
97%Number of Residents and Certified Beds
- Residents: 29
- Certified Beds: 30
This Facility Accepts
- Medicare
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- Part of a Continuing Care Retirement Community (CCRC)
- 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 Deerfield Retirement Community Inc. 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
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 6-10 | 3.3% |
| ADL Index Range: 0-5 | 6.1% |
| Total Percent: | 9.4% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 12.2% |
| ADL Index Range: 6-10 | 25.4% |
| ADL Index Range: 0-5 | 32.9% |
| Total Percent: | 70.4% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 8.5% |
| ADL Index Range: 6-10 | 7.5% |
| ADL Index Range: 0-5 | 3.8% |
| Total Percent: | 19.7% |
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: 11-14 - No Signs of depression | 0.5% |
| Total Percent: | 0.5% |
Rating Details For Deerfield Retirement Community Inc
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 | 59 Minutes | 59 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 4 Minutes | 36 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 29 Minutes | 2 Hours and 37 Minutes |
| Total Licensed Nurse Hours | 2 Hours and 3 Minutes | 1 Hour and 35 Minutes |
| Total Nurse Hours | 4 Hours and 32 Minutes | 4 Hours and 12 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 Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Lose Too Much Weight | 3% | 6% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 2% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 21% | 10% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 1% | 6% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 65% | 44% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 13% | 9% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 26% | 16% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 25% | 13% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 8% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
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 | 3% | 5% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 14% | 23% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 6% | 11% |
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 08/19/2010.
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
Post Nurse Staffing Information.
|  |  |
Environmental
Keep Safe, Clean and Homelike Surroundings.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Nutrition and Dietary
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Provide Activities to Meet the Needs of Each Resident.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Resident Assessment
Make Sure That Doctors Visit Residents Regularly, As Required.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
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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) | 12/22/2009 | $3,250 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Deerfield Retirement Community Inc, 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 |
Administration
Follow All Laws and Professional Standards.
| | |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|  | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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 Deerfield Retirement Community Inc 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 08/18/2010.
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
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Approved Construction Type or Materials.
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Approved Construction Type or Materials.
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Approved Construction Type or Materials.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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An Approved Back-Up Procedure for a Faulty Fire Alarm System.
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Illumination and Emergency Power
Proper Backup Exit Lighting.
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Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Laboratories
Emergency Showers.
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Medical Gases and Anesthetizing Areas
No-Smoking Signs Where Oxygen is Used.
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Proper Medical Gas Storage and Administration Areas.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011
