COLONIAL MANOR OF ZEARING

The information listed below provides an in-depth look into the type and quality of care offered at Colonial Manor of Zearing. 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

COLONIAL MANOR OF ZEARING
404 EAST GARFIELD
ZEARING, IA 50278
(641) 487-7631

Nursing Home Ratings

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

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 31
  • Certified Beds: 40

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Hubbard | State Center | Nevada

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 Colonial Manor of Zearing. 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

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1010.5%
Total Percent:10.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1036.8%
Total Percent:36.8%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-1010.5%
Total Percent:10.5%
 

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: 15-16
- No Signs of depression
7.9%
ADL Index Range: 2-5
- No Signs of depression
18.4%
Total Percent:26.3%
 

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: 2-5
- No Signs of depression
9.2%
Total Percent:9.2%
 

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
6.6%
Total Percent:6.6%
 

Rating Details For Colonial Manor of Zearing

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) Hours45 Minutes54 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 21 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 33 Minutes
Total Nurse Hours3 Hours and 41 Minutes3 Hours and 56 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 Spend Most of Their Time in Bed or in a Chair-2%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder45%44%
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 Bladder5%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%16%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%13%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%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 12/30/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009

Environmental

Keep Adequate and Comfortable Lighting in All Areas.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/17/2008
  • Correction Date: 03/11/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/06/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/30/2010
  • Correction Date: 01/20/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/30/2010
  • Correction Date: 01/20/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 12/17/2008
  • Correction Date: 03/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/17/2008
  • Correction Date: 03/11/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 12/17/2008
  • Correction Date: 03/11/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/06/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/06/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/06/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/06/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/30/2010
  • Correction Date: 02/11/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/30/2010
  • Correction Date: 01/20/2011

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: 12/17/2008
  • Correction Date: 01/18/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
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: 10/08/2009
  • Correction Date: 11/06/2009

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.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/18/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/17/2008
  • Correction Date: 03/11/2009
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: 10/08/2009
  • Correction Date: 11/06/2009
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.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/06/2009
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: 12/30/2010
  • Correction Date: 01/20/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 12/30/2010
  • Correction Date: 01/20/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 12/30/2010
  • Correction Date: 01/20/2011
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/30/2010
  • Correction Date: 01/20/2011

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)12/17/2008$4,420

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Colonial Manor of Zearing, 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

Administration

Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Complaint Filed: 01/28/2010
  • Correction Date: 02/17/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 08/11/2010
  • Correction Date: 08/30/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/11/2010
  • Correction Date: 08/30/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 12/09/2010
  • Correction Date: 01/20/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 10/08/2009
  • Correction Date: 11/06/2009

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: 01/28/2010
  • Correction Date: 02/17/2010

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.
  • Complaint Filed: 08/11/2010
  • Correction Date: 08/30/2010
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
  • Complaint Filed: 12/09/2010
  • Correction Date: 01/20/2011

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 Colonial Manor of Zearing 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 11/10/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/03/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/17/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/17/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/04/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/17/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/07/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/17/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/17/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/20/2008
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/17/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/03/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/10/2010
  • Correction Date: 11/17/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/24/2008
  • Correction Date: 12/08/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 10/09/2009
  • Correction Date: 11/17/2009
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011