Provider Name: SOUTHEAST IOWA REGIONAL MEDICAL - KLEIN CENTER
Address: 1221 S GEAR STREET, WEST BURLINGTON, IA 52655
Phone: (319) 768-1000
County: Des Moines (280)
Ownership Type: Non profit - Corporation
Certified Beds: 160
Average Residents Per Day: 87.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC
First Approved Date: May 1, 1977
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.76300, LPN Staff Hours Per Day: 0.5353, RN Staff Hours Per Day: 1.1803, Licensed Staff Hours Per Day: 1.7157
Total Nurse Staff Hours Per Day, per resident: 4.47875
Weekend Nurse Staff Hours: 4.01243, Weekend RN Staff Hours: 0.8692
PT Staff Hours Per Day, per resident: 0.0039
Nurse Staff Turnover: 45.3, Nurse Turnover Note:
RN Turnover: 46.2, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9169, Case Mix LPN Hours Per Day: 0.6278, Case Mix RN Hours Per Day: 0.2821
Adjusted Nurse Aide Hours Per Day, per resident: 2.93645, Adjusted LPN Hours Per Day: 0.6292, Adjusted RN Hours Per Day: 1.5764
Total Adjusted Nurse Hours Per Day, per resident: 4.99383
Adjusted Weekend Nurse Hours Per Day, per resident: 4.47388
Health Survey Dates and Scores: Cycle 1: 2023-03-16 (Score: 16), Cycle 2: 2021-11-04 (Score: 4), Cycle 3: 2019-12-12 (Score: 4)
Total Weighted Health Score: 10.000
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 657.80, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1221 S GEAR STREET,WEST BURLINGTON,IA,52655 (40.8103, -91.170)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-13
Type: Health, Deficiency: Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-13
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-13
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-11-24
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-11-24
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0926, Version: New
Description: Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-04-16
Type: Fire Safety, Tag: 0354, Version: New
Description: Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-11-12
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-01-07
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Waiver has been granted on 2020-01-16