MERCY MEDICAL CENTER-DUBUQUE (DYERSVILLE, IA) Detailed Nursing Home Profile

MERCY MEDICAL CENTER-DUBUQUE - DYERSVILLE, IA

Addresss:

1111 THIRD STREET SW
DYERSVILLE, IA, 52040

Phone (make sure to verify first before calling): (563) 875-2921

Number of Certified Beds: 40
Total Number of Residents: 40
Percent of Occupied Beds: 100%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Nursing Facilities

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: Stars
Quality Measures Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 0.57

Certified Nurse Aides - Full Time: 10.74

Certified Nurse Aides - Part Time: 8.93

Food Service Personnel - Full Time: 2.64

Food Service Personnel - Part Time: 3.43

Housekeeping Personnel - Full Time: 1.14

Licensed Practical/ Vocational Nurses - Part Time: 2.29

Medical Directors - Under Contract: 0.06

Mental Health Services Personnel - Under Contract: 0.03

Nurses With Administrative Duties - Full Time: 1.37

Persons Not Included In Any Other Categories - Full Time: 1.14

Registered Nurses - Full Time: 1.49

Rn Director Of Nursing - Full Time: 0.57

Activities Professionals - Full Time: 1.03

Dentists - Under Contract: 0.03

Occupational Therapists - Part Time: 0.07

Podiatrists - Under Contract: 0.03

Other Physicians - Under Contract: 0.06

Dietitians - Full Time: 0.46

Sppech Pathologists - Full Time: 0.03

Registered Nurses - Part Time: 1.03

Social Workers - Part Time: 0.46

Housekeeping Personnel - Part Time: 1.37

Pharmacists - Full Time: 0.26

Physical Therapists - Full Time: 0.11

Number Of Beds

Total: 491

Total Certified: 40

Provided Services

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Onsite 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 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 Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

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

This Nursing Home:	26.5%
Iowa:	14.5%

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

This Nursing Home:	11.6%
Iowa:	11.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	2.6%
State:	6.7%

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

This Nursing Home:	7.1%
State:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	5.3%
State:	8.4%

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

This Nursing Home:	2.6%
State:	3.9%

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

This Nursing Home:	100.0%
Iowa:	98.0%

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

This Nursing Home:	100.0%
State:	97.7%

Percent of long-stay residents who received an antipsychotic medication

Here:	13.5%
State:	21.0%

Complaint Deficiency

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for

Harm: Potential for minimal harm
Scope: Many

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property

Harm: Potential for minimal harm
Scope: Many

Make sure each resident receives an accurate assessment by a qualified health professional

Harm: Minimal harm or potential for actual harm
Scope: Some

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion

Harm: Minimal harm or potential for actual harm
Scope: Some

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents

Harm: Minimal harm or potential for actual harm
Scope: Some

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

Harm: Minimal harm or potential for actual harm
Scope: Few

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

Harm: Minimal harm or potential for actual harm
Scope: Some

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature

Harm: Potential for minimal harm
Scope: Some

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day

Harm: Minimal harm or potential for actual harm
Scope: Some

Have a program that investigates, controls and keeps infection from spreading

Harm: Minimal harm or potential for actual harm
Scope: Some

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action

Harm: Potential for minimal harm
Scope: Many

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour

Harm: Minimal harm or potential for actual harm
Scope: Many

Exits that are accessible at all times

Harm: Minimal harm or potential for actual harm
Scope: Many

An approved installation, maintenance and testing program for fire alarm systems

Harm: Minimal harm or potential for actual harm
Scope: Some

Properly maintained smoke detectors

Harm: Minimal harm or potential for actual harm
Scope: Some

Record of quarterly fire drills for each shift under varying conditions

Harm: Minimal harm or potential for actual harm
Scope: Many

Automatic sprinkler systems that have been maintained in working order

Harm: Minimal harm or potential for actual harm
Scope: Many

Provide necessary care and services to maintain the highest well being of each resident

Harm: Minimal harm or potential for actual harm
Scope: Few

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour

Harm: Minimal harm or potential for actual harm
Scope: Many

MERCY MEDICAL CENTER-DUBUQUE - DYERSVILLE, IA

Quality Measures

Complaint Deficiency

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