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Prime Nursing And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 44
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 04/04/2012

Date of last standard health inspection: 04/04/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in IA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IA: 0 - 7

Inspection, 01/05/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) 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 01/05/2011 01/07/2012 2 Some
Employ staff that are licensed, certified, or registered in accordance with state laws. 01/05/2011 01/07/2012 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 01/05/2011 01/07/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire sufficient dietary support personnel. 01/05/2011 01/07/2012 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/05/2011 01/07/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2011 01/07/2012 2 Some
Provide routine and 24-hour emergency dental care for each resident. 01/05/2011 01/07/2012 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2011 01/07/2012 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/05/2011 00/00/0000 2 Some
Make sure that doctors visit residents regularly, as required. 01/05/2011 01/07/2012 2 Few
Make sure that all required doctor visits are made personally. 01/05/2011 01/07/2012 2 Few
Develop a complete care plan that meets all the resident's needs 01/05/2011 01/07/2012 Some with timetables and actions that can be measured.

Inspection, 00/05/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2011 00/00/0000 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/05/2011 00/00/0000 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2011 00/00/0000 2 Some
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 00/05/2011 00/00/0000 2 Some
Assist those residents who need help with eating/drinking 00/05/2011 00/00/0000 Few grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/05/2011 00/00/0000 2 Some

Inspection, 01/06/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/06/2008 01/00/2009 Some controls and keeps infection from spreading.
Keep all essential equipment working safely. 01/06/2008 01/00/2009 1 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/06/2008 01/00/2009 Few grooming and personal and oral hygiene.

Inspection, 02/08/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2005 01/08/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/08/2005 01/08/2006 2 Few
Assist those residents who need help with eating/drinking 02/08/2005 01/08/2006 Few grooming and personal and oral hygiene.

Inspection, 00/06/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe 00/06/2005 00/06/2006 comfortable and home-like environment; and allow r clean
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/06/2005 00/06/2006 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2005 00/06/2006 2 Few

Inspection, 02/07/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2004 01/09/2007 3 Few

Inspection, 02/05/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 02/05/2004 00/00/0000 Few controls and keeps infection from spreading.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/05/2004 00/00/0000 2 Few
Store 02/05/2004 00/00/0000 and serve food in a safe and clean way. cook
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/05/2004 00/00/0000 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2004 00/00/0000 2 Few
Ensure 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. 02/05/2004 00/00/0000 2 Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/05/2004 00/00/0000 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents choose a personal doctor. 02/05/2004 00/00/0000 1 Some
Reasonably accommodate the needs and preferences of each resident. 02/05/2004 00/00/0000 2 Few

Inspection, 00/04/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/04/2004 00/04/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/04/2004 00/04/2005 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/04/2004 00/04/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/04/2004 00/04/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/04/2004 00/04/2005 2 Few

Inspection, 01/06/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/06/2003 01/06/2004 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide clean bed and bath linens that are in good condition. 01/06/2003 01/06/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/06/2003 01/06/2004 2 Few

Inspection, 00/03/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 00/03/2002 00/06/2006 2 Some
1) 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 00/03/2002 00/06/2006 2 Some
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 00/03/2002 00/06/2006 2 Some
Employ staff that are licensed, certified, or registered in accordance with state laws. 00/03/2002 00/06/2006 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/03/2002 00/06/2006 2 Some
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. 00/03/2002 00/06/2006 1 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/03/2002 00/06/2006 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 00/03/2002 00/06/2006 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2002 00/06/2006 4 Some
Have a program that investigates, controls and keeps infection from spreading. 00/03/2002 01/09/2007 2 Some
Keep all essential equipment working safely. 00/03/2002 00/06/2006 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/03/2002 01/09/2007 2 Few
Put firmly secured handrails on each side of hallways. 00/03/2002 00/06/2006 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/03/2002 01/09/2007 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2002 00/06/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/03/2002 00/06/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/03/2002 01/09/2007 2 Some
Provide care by qualified persons according to each resident's written plan of care. 00/03/2002 01/09/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2002 01/09/2007 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/03/2002 00/06/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/03/2002 00/06/2006 2 Few
Ensure 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. 00/03/2002 01/09/2007 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 00/03/2002 00/06/2006 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/03/2002 00/06/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/03/2002 01/09/2007 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2002 01/09/2007 2 Few
Assist those residents who need help with eating/drinking 00/03/2002 00/06/2006 Few grooming and personal and oral hygiene.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/03/2002 00/06/2006 2 Some
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 00/03/2002 00/06/2006 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 00/03/2002 00/06/2006 2 Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/03/2002 00/06/2006 2 Few
Provide proof that residents' personal money that is deposited with the nursing home is secure. 00/03/2002 00/06/2006 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 00/03/2002 01/09/2007 1 Many
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 00/03/2002 00/06/2006 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2002 00/06/2006 2 Few
Properly hold 00/03/2002 00/06/2006 and manage each resident's personal money which is secure
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 00/03/2002 00/06/2006 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2002 00/06/2006 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in IA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 56 37
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 20 minutes 1 hour 23 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 43 minutes 55 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 9 hours 43 minutes 27 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 22 minutes 2 hours 9 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 04/10/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/10/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in IA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in IA: 0 - 0

Inspection, 00/08/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/08/2011 00/08/2012 2 Some
Automatic sprinkler systems that have been maintained in working order. 00/08/2011 00/08/2012 2 Many
Back-up procedures in place for a faulty automatic sprinkler system. 00/08/2011 00/08/2012 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 00/08/2011 00/08/2012 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/08/2011 00/08/2012 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/08/2011 00/08/2012 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/08/2011 00/08/2012 2 Many
An approved back-up procedure for a faulty fire alarm system. 00/08/2011 00/08/2012 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 00/08/2011 00/08/2012 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/08/2011 00/08/2012 2 Some
Properly installed hallway dispensers for alcohol-based hand rub. 00/08/2011 00/08/2012 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/08/2011 00/08/2012 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/08/2011 00/08/2012 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/08/2011 00/08/2012 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/08/2011 00/08/2012 2 Some

Inspection, 01/00/2004

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 01/00/2004 01/00/2005 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2004 01/00/2005 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/00/2004 01/00/2005 2 Many

Inspection, 01/03/2001

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/03/2001 00/04/2002 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/03/2001 01/04/2001 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/03/2001 00/02/2002 2 Few
 

600 East Fifth Street
Des Moines, IA 50309

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