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Touchstone Healthcare Community

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About Touchstone Healthcare Community

General Information

Legal Business NameSioux City Healthcare LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1991 (26 years)
Capacity125
Residents85
Percent Occupied68%
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 Touchstone Healthcare Community

Touchstone 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

December 14, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaintMake 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 HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaintProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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 HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

August 10, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaintProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide clean bed and bath linens that are in good condition.

January 28, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
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.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionDevelop 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 HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

December 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

October 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

September 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$26,542 fine
---Payment DenialPayment denial for 40 days
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

January 15, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.

December 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$9,620 fine
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Touchstone 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.

1hr 55min
2hr 20min
ReportedExpected
CNA
1hr 10min
35min
ReportedExpected
LPN
55min
55min
ReportedExpected
RN
4hr
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

100.0%
91.9%
91.9%
91.9%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
96.2%
98.8%
93.3%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
20.0%
15.6%
26.8%
19.5%
40.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
20.8%
28.4%
20.6%
15.2%
21.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
23.6%
15.3%
32.3%
16.7%
18.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose ability to move independently worsened
21.6%
27.4%
24.3%
22.2%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antipsychotic medication
24.6%
9.8%
12.5%
21.1%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose need for help with daily activities has increased
16.1%
9.9%
15.7%
11.8%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who self-report moderate to severe pain
8.6%
6.2%
5.1%
8.0%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who lose too much weight
1.8%
3.4%
3.5%
0.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
5.8%
12.9%
5.1%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who have depressive symptoms
6.2%
5.0%
8.9%
5.7%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a urinary tract infection
0.0%
2.5%
3.8%
2.2%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents experiencing one or more falls with major injury
5.1%
1.5%
0.0%
3.6%
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

83.3%
77.9%
69.7%
42.5%
85.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.7%
80.0%
80.0%
80.0%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
87.4%
85.1%
78.2%
76.0%
75.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who made improvements in function
28.8%
24.6%
29.0%
42.9%
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%
0.0%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
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