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Mill-Pond

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About Mill-Pond

General Information

Legal Business NamePresbyterian Homes Mill Pond Inc
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 19, 1995 (22 years)
Capacity60
Residents57
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Mill-Pond

Mill-Pond
was reviewed by Medicare to have a rating of 3 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

August 31, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
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.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 InspectionEnsure services provided by the nursing facility meet professional standards of quality.

October 1, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionMake sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential 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.
DFewPotential for HarmHealth Inspection1) 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 HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
BSomePotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

July 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+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 HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Mill-Pond 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 10min
2hr 35min
ReportedExpected
CNA
15min
35min
ReportedExpected
LPN
1hr 10min
50min
ReportedExpected
RN
3hr 35min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.5%
94.5%
94.5%
94.5%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.2%
92.3%
92.3%
90.7%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
65.4%
68.0%
72.0%
70.8%
40.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
24.5%
20.0%
20.4%
16.3%
21.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
5.6%
10.8%
17.9%
16.9%
18.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose ability to move independently worsened
8.0%
7.8%
11.8%
11.3%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antipsychotic medication
6.1%
8.0%
10.2%
12.2%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose need for help with daily activities has increased
2.0%
2.1%
1.8%
2.0%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who self-report moderate to severe pain
2.0%
3.8%
1.9%
5.6%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who lose too much weight
2.2%
2.1%
0.0%
2.1%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of high risk long-stay residents with pressure ulcers
6.1%
8.0%
10.2%
13.5%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who have depressive symptoms
12.0%
3.8%
13.5%
9.3%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
1.9%
3.7%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents experiencing one or more falls with major injury
4.2%
5.7%
5.0%
3.9%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

48.4%
46.2%
21.9%
16.7%
85.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.5%
73.1%
73.1%
73.1%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
75.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
7.1%
16.7%
17.9%
13.6%
17.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who self-report moderate to severe pain
-
-
5.0%
-
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
1.8%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents with pressure ulcers that are new or worsened