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The Village At Legacy Pointe Nursing Facility
1645 SE HOLIDAY CREST CIRCLE
Waukee, IA 50263
(515) 987-3625
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 48 |
| Number of Residents: | 41 |
| Percent of Occupied Beds: | 85% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080228 | 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 | 20080331 |
| 20080228 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20080331 |
| 20090429 | Health | Environmental Deficiencies | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) an adequate bed; 4) furniture that meets the resident's needs; or 5) enough closet space. | Isolated | Minimal harm or potential for actual harm | 20090527 |
| 20090429 | Health | Administration Deficiencies | Follow all laws and professional standards. | Isolated | Minimal harm or potential for actual harm | 20090527 |
| 20090429 | 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 | 20090527 |
| 20090504 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20090519 |
| 20090820 | Health | Environmental Deficiencies | Provide clean bed and bath linens that are in good condition. | Isolated | Minimal harm or potential for actual harm | 20090911 |
| 20090820 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20091013 |
| 20090820 | Health | Resident Rights Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20090911 |
| 20090820 | Health | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Isolated | Actual harm | 20090904 |
| 20090820 | 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 | 20090911 |
| 20090820 | 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 | 20090918 |
| 20090820 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20090911 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 100 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 14 | |
| Percent of long-stay residents who have moderate to severe pain: | 6 | |
| Percent of high-risk long-stay residents who have pressure sores: | 8 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 21 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 21 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 2 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 17 | |
| Percent of long-stay residents who had a urinary tract infection: | 13 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 96 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of short-stay residents who have delirium: | 2 | |
| Percent of short-stay residents who had moderate to severe pain: | 29 | |
| Percent of short-stay residents who have pressure sores: | 10 | |
| # of Residents: | 41 |
| # RN Hours per Resident: | 0.66 |
| # LPN Hours per Resident: | 0.85 |
| # CNA Hours per Resident: | 3.15 |
| Total Staff Hours per Resident: | 1.51 |
