Granger Nursing & Rehabilitation Center

2001 KENNEDY STREET
Granger, IA 50109
(515) 999-2588
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 67
Number of Residents: 53
Percent of Occupied Beds: 79%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? Yes
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070917 Health Resident Rights Deficiencies Let each resident choose a personal doctor. Isolated Minimal harm or potential for actual harm 20071031
20070917 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Quality Care Deficiencies Develop/implement required procedures for the administration of immunizations. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Quality Care Deficiencies Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Environmental Deficiencies Make sure there is a program to prevent/deal with mice, insects, or other pests. Pattern Minimal harm or potential for actual harm 20071031
20070917 Health Nutrition and Dietary Deficiencies 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. Widespread Minimal harm or potential for actual harm 20071031
20080108 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20080228
20080311 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20080429
20080311 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20080614
20080311 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20080614
20080430 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20080614
20080430 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20080707
20080430 Health Administration Deficiencies Follow all laws and professional standards. Pattern Minimal harm or potential for actual harm 20080614
20080430 Health Administration Deficiencies Get proof that a nurse aide has the training and skills that the State requires. Isolated Minimal harm or potential for actual harm 20080614
20080430 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20080614
20080430 Health Administration Deficiencies Quickly tell the resident's doctor the results of lab tests. Isolated Minimal harm or potential for actual harm 20080614
20080430 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20080614
20080430 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080614
20080430 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Pattern Minimal harm or potential for actual harm 20080707
20080430 Health Resident Assessment Deficiencies Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. Isolated Minimal harm or potential for actual harm 20080614
20080619 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080707
20080619 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20080707
20080619 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Isolated Minimal harm or potential for actual harm 20080707
20080619 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Minimal harm or potential for actual harm 20080707
20080619 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20080729
20080619 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080729
20080619 Health Quality Care Deficiencies Give each resident enough fluids to keep them healthy and prevent dehydration. Pattern Minimal harm or potential for actual harm 20080707
20080619 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern Minimal harm or potential for actual harm 20080707
20080619 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20080707
20081106 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Actual harm 20081222
20081106 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20081222
20081106 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Actual harm 20081222
20081106 Health Quality Care Deficiencies Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Isolated Minimal harm or potential for actual harm 20081222
20081106 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20081222
20081106 Health Nutrition and Dietary Deficiencies Make sure that the attending doctor orders special diets. Widespread Minimal harm or potential for actual harm 20081222
20081106 Health Nutrition and Dietary Deficiencies 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. Widespread Potential for minimal harm 20081222
20081106 Health Nutrition and Dietary Deficiencies Make sure that residents are well nourished. Pattern Minimal harm or potential for actual harm 20081222
20081106 Health Resident Assessment Deficiencies Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. Pattern Potential for minimal harm 20081222
20081106 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20081222
20081106 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20081222
20081106 Health Pharmacy Service Deficiencies At least once a month, have a licensed pharmacist check the drugs that each resident takes. Isolated Minimal harm or potential for actual harm 20081222
20090120 Health Resident Rights Deficiencies 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. Isolated Minimal harm or potential for actual harm 20090204
20090120 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20090204
20090120 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20090204
20090421 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090601
20090805 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090824
20090805 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Actual harm 20090824
20090805 Health Quality Care Deficiencies Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread Potential for minimal harm 20090824
20090805 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20091023
20090805 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20090824
20090805 Health Nutrition and Dietary Deficiencies 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. Isolated Minimal harm or potential for actual harm 20090824
20090921 Health Environmental Deficiencies Keep all essential equipment working safely. Pattern Minimal harm or potential for actual harm 20090922
20091217 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Isolated Minimal harm or potential for actual harm 20100117
20091217 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20100117
20100204 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Potential for minimal harm 20100304
20100204 Health Resident Rights Deficiencies Provide enough notice before discharging or transferring a resident. Isolated Minimal harm or potential for actual harm 20100304
20100204 Health Nutrition and Dietary Deficiencies Provide food in a way that meets a resident's needs. Pattern Minimal harm or potential for actual harm 20100304
20100204 Health Nutrition and Dietary Deficiencies Hire enough skilled workers to carry out dietary service. Pattern Minimal harm or potential for actual harm 20100304
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 97
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 100
Percent of long-stay residents whose need for help with daily activities has increased: 11
Percent of long-stay residents who have moderate to severe pain: 1
Percent of high-risk long-stay residents who have pressure sores: 6
Percent of low-risk long-stay residents who have pressure sores: 2
Percent of long-stay residents who were physically restrained: 2
Percent of long-stay residents who are more depressed or anxious: 19
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 30
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 6
Percent of long-stay residents who spend most of their time in bed or in a chair: 2
Percent of long-stay residents whose ability to move about in and around their room got worse: 1
Percent of long-stay residents who had a urinary tract infection: 8
Percent of long-stay residents who lose too much weight: 3
Percent of short-stay residents given influenza vaccination during the flu season: 100
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 100
Percent of short-stay residents who have delirium: 1
Percent of short-stay residents who had moderate to severe pain: 0
Percent of short-stay residents who have pressure sores: 12
# of Residents: 53
# RN Hours per Resident: 0.63
# LPN Hours per Resident: 0.5
# CNA Hours per Resident: 1.93
Total Staff Hours per Resident: 1.13