STORY COUNTY HOSPITAL LTC - NEVADA, IA

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Address

630 SIXTH STREET
NEVADA, IA, 50201

Phone (make sure to verify first before calling): (515) 382-2111

Number of Certified Beds: 80
Total Number of Residents: 57
Percent of Occupied Beds: 71%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Offsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Non Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 0.86
Certified Nurse Aides - Full Time: 21.26
Food Service Personnel - Full Time: 2.86
Housekeeping Personnel - Full Time: 4.29
Licensed Practical/ Vocational Nurses - Full Time: 6.86
Nurses With Administrative Duties - Full Time: 0.57
Registered Nurses - Full Time: 3.77
Rn Director Of Nursing - Full Time: 0.29
Social Workers - Full Time: 0.57
Activities Professionals - Full Time: 1.14
Pharmacists - Under Contract: 0.57
Medical Directors - Full Time: 0.06
Dietitians - Full Time: 0.29
Housekeeping Personnel - Part Time: 0.46
Occupational Therapists - Full Time: 0.04
Physical Therapists - Full Time: 0.04
Physical Therapy Aide - Full Time: 1.83
Medication Aides/ Technicians - Full Time: 2.86

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: Fewer than 100
Survey Response Rate: 39%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	3%

Usually

Here:	25%
Iowa:	17%

Always

This Nursing Home:	72%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
State:	3%

Usually

Here:	14%
State:	13%

Always

Here:	85%
Iowa:	84%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	1%
State:	6%

Usually

Here:	42%
Iowa:	25%

Always

This Nursing Home:	57%
State:	69%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
Iowa:	5%

Usually

Here:	33%
Iowa:	24%

Always

Here:	59%
State:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	19%
State:	15%

Usually

Here:	25%
State:	21%

Always

This Nursing Home:	56%
Iowa:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Nursing Home:	7%
State:	6%

Usually

This Nursing Home:	11%
Iowa:	16%

Always

Here:	82%
Iowa:	78%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	5%
State:	7%

Usually

Here:	38%
Iowa:	30%

Always

This Nursing Home:	57%
State:	63%

Were patients given information about what to do during their recovery at home?

Yes

This Nursing Home:	89%
Iowa:	85%

This Nursing Home:	11%
Iowa:	15%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	7%
State:	6%

7 or 8

Here:	26%
State:	20%

9 or 10

Here:	67%
Iowa:	74%

Would patients recommend the hospital to friends and family?

Here:	5%
Iowa:	3%

Yes, probably

Here:	23%
State:	22%

Yes, definitely

This Nursing Home:	72%
State:	75%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.510
Iowa:	0.684

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.570
State:	0.621

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.090
Iowa:	1.298

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.037

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Iowa:	0.043

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	4.4%
Iowa:	14.5%

Percent of long-stay residents who self-report moderate to severe pain

Here:	5.6%
Iowa:	11.4%

Percent of long-stay residents who lose too much weight

Here:	9.3%
Iowa:	6.7%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	5.9%
Iowa:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	5.6%
State:	8.4%

Percent of long-stay residents who have depressive symptoms

Here:	4.0%
State:	7.5%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	5.6%
Iowa:	3.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	98.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Iowa:	97.7%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	7.4%
State:	21.0%

Process of Care

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:	93.0%
State:	97.4%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	91.0%
State:	93.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	82.0%
Iowa:	94.3%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Nursing Home:	54.0%
State:	97.8%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Nursing Home:	100.0%
State:	96.3%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

This Nursing Home:	100.0%
Iowa:	98.7%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	100.0%
State:	96.3%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Nursing Home:	100.0%
Iowa:	97.2%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	93.0%
State:	99.8%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Nursing Home:	100.0%
State:	99.6%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	10.4%
Iowa:	12.0%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.8%
Iowa:	17.9%

Complaint Deficiency

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Proper exit design: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Potential for minimal harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Potential for minimal harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Some (Potential for minimal harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

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