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Embassy Healthcare Community

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About Embassy Healthcare Community

General Information

Legal Business NameSergeant Bluff Healthcare LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 28, 1988 (28 years)
Capacity60
Residents49
Percent Occupied82%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Embassy Healthcare Community

Embassy Healthcare Community
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Iowa Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 22, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 6, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
CManyPotential for Minimal HarmComplaintMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

June 25, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with 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.

May 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.
FManyPotential for HarmFire Safety InspectionBack-up procedures in place for a faulty automatic sprinkler system.
FManyPotential for HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
FManyPotential for HarmFire Safety InspectionProperly protected cooking facilities.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

May 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 49 days
ESomePotential for HarmHealth InspectionMake 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.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
CManyPotential for Minimal HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmHealth InspectionEmploy staff that are licensed, certified, or registered in accordance with state laws.
DFewPotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
BSomePotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.

January 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

November 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$11,700 fine
---Payment DenialPayment denial for 20 days
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint1) Hire only people with 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.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

May 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

May 1, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
CManyPotential for Minimal HarmHealth InspectionKeep clinical record information safe.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionMake 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.
BSomePotential for Minimal HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
BSomePotential for Minimal HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Embassy Healthcare Community require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 50min
2hr 20min
ReportedExpected
CNA
10min
35min
ReportedExpected
LPN
1hr 25min
60min
ReportedExpected
RN
4hr 25min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

65.9%
66.0%
66.0%
97.4%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
86.4%
86.7%
61.4%
95.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
39.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
34.1%
20.9%
19.0%
17.4%
Q1 2015Q2 2015Q3 2015IA
Received an Antipsychotic Medication
7.7%
5.0%
-
16.4%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
5.2%
16.8%
-
8.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
2.4%
2.3%
4.7%
6.8%
Q1 2015Q2 2015Q3 2015IA
Lose Too Much Weight
3.2%
6.1%
-
3.9%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
4.8%
4.9%
4.8%
5.9%
Q1 2015Q2 2015Q3 2015IA
Have Depressive Symptoms
7.0%
2.2%
4.7%
6.2%
Q1 2015Q2 2015Q3 2015IA
With a Urinary Tract Infection
0.0%
0.0%
0.0%
3.6%
Q1 2015Q2 2015Q3 2015IA
Experiencing One or More Falls with Major Injury
2.7%
14.9%
16.9%
4.1%
Q1 2015Q2 2015Q3 2015IA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
-
0.5%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

30.8%
29.0%
26.7%
86.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
56.0%
58.3%
58.3%
84.8%
Q1 2015Q2 2015Q3 2015IA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
55.0%
50.0%
-
17.7%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
6.2%
3.8%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015IA
With Pressure Ulcers That Are New or Worsened