NEWTON HEALTH CARE CENTER

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

NEWTON HEALTH CARE CENTER
200 SOUTH EIGHTH AVENUE EAST
NEWTON, IA 50208
(641) 792-7440

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

55%

Number of Residents and Certified Beds

Residents: 50
Certified Beds: 91

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:

Baxter | Mitchellville | Grinnell

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 Newton Health Care 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

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 11-16	8.1%
ADL Index Range: 6-10	2.1%
Total Percent:	10.3%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	20.1%
ADL Index Range: 6-10	14.9%
ADL Index Range: 0-5	35.3%
Total Percent:	70.3%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	4.2%
ADL Index Range: 6-10	2.1%
ADL Index Range: 0-5	5.3%
Total Percent:	11.6%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	3.8%
ADL Index Range: 0-5	2.1%
Total Percent:	5.9%

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	0.6%
ADL Index Range: 2-5 - No Signs of depression	0.2%
Total Percent:	0.8%

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	0.6%
Total Percent:	0.6%

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: 11-14 - Less restorative nursing	0.6%
Total Percent:	0.6%

Rating Details For Newton Health 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 Day	Reported	Expected
Registered Nurse (RN) Hours	40 Minutes	52 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	26 Minutes	34 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 59 Minutes	2 Hours and 18 Minutes
Total Licensed Nurse Hours	1 Hour and 6 Minutes	1 Hour and 25 Minutes
Total Nurse Hours	3 Hours and 5 Minutes	3 Hours and 43 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	85%	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	9%	6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	9%	6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	2%	2%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	15%	16%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	46%	44%
Percent of Long-Stay Residents Who Were Physically Restrained	3%	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	7%	13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	2%	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	8%	9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	8%	8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	8%	10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	82%	91%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	86%	91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	3%	5%
Percent of Short-Stay Residents Who Have Pressure Sores	14%	11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	8%	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 09/10/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.

Inspection Date: 07/02/2009
Correction Date: 08/03/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/02/2009 Correction Date: 08/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/02/2009 Correction Date: 08/03/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/10/2010 Correction Date: 10/18/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/10/2010 Correction Date: 10/18/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.

Inspection Date: 08/04/2008
Correction Date: 09/10/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 07/02/2009 Correction Date: 08/03/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/02/2009 Correction Date: 08/03/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/04/2008 Correction Date: 09/10/2008

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/04/2008 Correction Date: 09/10/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/02/2009 Correction Date: 08/03/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/02/2009 Correction Date: 08/03/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 07/02/2009 Correction Date: 08/03/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/10/2010 Correction Date: 10/18/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.

Inspection Date: 08/04/2008
Correction Date: 09/10/2008

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: 08/04/2008 Correction Date: 09/10/2008
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: 08/04/2008 Correction Date: 09/10/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/10/2010 Correction Date: 10/18/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Newton Health 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 Complaints

Degree of Harm

Residents Affected