ELMWOOD CARE CENTRE

The information listed below provides an in-depth look into the type and quality of care offered at Elmwood Care Centre. 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

ELMWOOD CARE CENTRE
222 NORTH 15TH STREET
ONAWA, IA 51040
(712) 423-2510

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

42%

Number of Residents and Certified Beds

Residents: 42
Certified Beds: 100

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

Get Free Help Finding Senior Care

Compare Costs and Services
100% Free Service - No Obligation
Discuss Different Care Options Availabe

Fill out the form above to get started
Looking For*
City/State*
First Name*
Last Name*
Phone*
Email*

Note:* Required Fields

We value your privacy. By clicking "Request Assistance", you agree to the terms and conditions of our privacy policy. You also consent that we, or our partner providers, can reach out to you using a system that can auto-dial. Your consent is not required to use our service.

Nearby Cities:

Whiting | Mapleton | Sergeant Bluff

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 Elmwood Care Centre. 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

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum

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	5.7%
Total Percent:	5.7%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	45.5%
ADL Index Range: 0-5	15.9%
Total Percent:	61.4%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	15.9%
Total Percent:	15.9%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 6-10	14.8%
Total Percent:	14.8%

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 - No Signs of depression	2.3%
Total Percent:	2.3%

Rating Details For Elmwood Care Centre

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	37 Minutes	54 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	49 Minutes	33 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 30 Minutes	2 Hours and 19 Minutes
Total Licensed Nurse Hours	1 Hour and 26 Minutes	1 Hour and 27 Minutes
Total Nurse Hours	3 Hours and 56 Minutes	3 Hours and 47 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	82%	93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	81%	94%

Long-Term Stay Deficiencies

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	-	3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	2%	8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	7%	16%
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	12%	6%
Percent of Long-Stay Residents Who Lose Too Much Weight	13%	6%
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 Spend Most of Their Time in Bed or in a Chair	-	2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	48%	44%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	3%	4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	6%	9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	59%	91%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	69%	91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	5%	23%
Percent of Short-Stay Residents Who Have Pressure Sores	3%	11%
Percent of Short-Stay Residents Who Have Delirium	2%	5%

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 01/18/2011.

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

Follow All Laws and Professional Standards. Inspection Date: 10/29/2009 Correction Date: 11/29/2009
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 01/18/2011 Correction Date: 01/31/2011
Have Licensed, Certified, or Registered Staff to Give Needed Services. Inspection Date: 01/18/2011 Correction Date: 01/31/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 10/28/2008 Correction Date: 11/25/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/28/2008 Correction Date: 11/24/2008
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 10/28/2008 Correction Date: 11/24/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/18/2011 Correction Date: 02/10/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/18/2011 Correction Date: 01/31/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 10/29/2009 Correction Date: 11/29/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/29/2009 Correction Date: 11/29/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/18/2011 Correction Date: 01/31/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/28/2008 Correction Date: 11/24/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/29/2009 Correction Date: 11/29/2009
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: 01/18/2011 Correction Date: 01/28/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/28/2008 Correction Date: 01/30/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/28/2008 Correction Date: 11/25/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/28/2008 Correction Date: 11/25/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/29/2009 Correction Date: 11/29/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/29/2009 Correction Date: 11/29/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/18/2011 Correction Date: 04/27/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/18/2011 Correction Date: 01/31/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/18/2011 Correction Date: 01/31/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/18/2011 Correction Date: 01/31/2011

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: 10/28/2008 Correction Date: 11/03/2008
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: 10/29/2009 Correction Date: 11/29/2009
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: 01/18/2011 Correction Date: 04/27/2011

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 Taken	Date	Amount
Civil Money Penalty (CMP)	10/28/2008	$1,008
Civil Money Penalty (CMP)	01/18/2011	$3,315
Civil Money Penalty (CMP)	02/16/2009	$3,510
Denial of Payment for New Admission (DPNA)	10/28/2008	-
Denial of Payment for New Admission (DPNA)	02/16/2009	-
Denial of Payment for New Admission (DPNA)	01/18/2011	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Elmwood Care Centre, 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