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Heritage Specialty Care

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About Heritage Specialty Care

General Information

Legal Business NameCare Initiatives
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 1, 1997 (21 years)
Capacity201
Residents117
Percent Occupied58%
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 Heritage Specialty Care

Heritage Specialty Care
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

December 1, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+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 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 HarmHealth InspectionEnsure that residents are safe from serious medication errors.

February 18, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

January 4, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

July 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.

April 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

March 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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.

December 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
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 that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Heritage Specialty Care 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 20min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
25min
50min
ReportedExpected
RN
3hr 15min
3hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.2%
96.0%
96.0%
96.0%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
99.1%
100.0%
100.0%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
55.9%
43.5%
37.3%
33.3%
40.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
28.3%
22.2%
20.2%
21.6%
21.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
16.4%
21.0%
33.5%
16.4%
18.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose ability to move independently worsened
11.4%
10.9%
9.3%
7.3%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antipsychotic medication
18.3%
10.7%
32.4%
16.5%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose need for help with daily activities has increased
20.4%
10.5%
5.6%
1.7%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who self-report moderate to severe pain
6.5%
5.2%
6.2%
6.9%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who lose too much weight
3.1%
3.8%
2.6%
2.7%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of high risk long-stay residents with pressure ulcers
7.6%
6.2%
5.7%
6.3%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who have depressive symptoms
9.8%
7.0%
5.3%
5.2%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a urinary tract infection
4.1%
6.8%
6.1%
3.4%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents experiencing one or more falls with major injury
0.9%
2.4%
2.3%
1.6%
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

99.0%
98.8%
97.5%
96.2%
85.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
91.5%
91.5%
91.5%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
64.5%
74.7%
84.4%
90.6%
75.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who made improvements in function
35.4%
31.0%
24.6%
12.5%
17.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
1.7%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who newly received an antipsychotic medication
1.0%
1.1%
0.0%
0.0%
1.8%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents with pressure ulcers that are new or worsened