FELLOWSHIP VILLAGE Nursing Home


FELLOWSHIP VILLAGE (CCN: 165283) is a Non profit - Corporation facility located in INWOOD, IA (51240). The facility has an overall rating of 3/5, health inspection rating of 3/5, and a staffing rating of 4/5. It offers 40 certified beds and maintains an average of 31.7 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 4.58683 total hours per resident per day. It has been certified since September 1, 1996 and the last listed health inspection was on December 7, 2023, The facility is located in Lyon county and provides senior and nursing home care.

FELLOWSHIP VILLAGE Summary


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Provider Name: FELLOWSHIP VILLAGE

Address: 300 EAST JEFFERSON, INWOOD, IA 51240

Phone: (712) 753-4663

County: Lyon (590)

Ownership Type: Non profit - Corporation

Certified Beds: 40

Average Residents Per Day: 31.7 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: FELLOWSHIP VILLAGE

First Approved Date: September 1, 1996

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: 3 ()

Health Inspection Rating: 3 ()

QM Rating: 3 ()

Long Stay QM Rating: 3 ()

Short Stay QM Rating: (2)

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 3.09554, LPN Staff Hours Per Day: 0.5684, RN Staff Hours Per Day: 0.9228, Licensed Staff Hours Per Day: 1.4913

Total Nurse Staff Hours Per Day, per resident: 4.58683

Weekend Nurse Staff Hours: 3.81415, Weekend RN Staff Hours: 0.4223

PT Staff Hours Per Day, per resident: 0.0175

Nurse Staff Turnover: 52.6, Nurse Turnover Note:

RN Turnover: 62.5, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.9013, Case Mix LPN Hours Per Day: 0.6643, Case Mix RN Hours Per Day: 0.2846

Adjusted Nurse Aide Hours Per Day, per resident: 3.31679, Adjusted LPN Hours Per Day: 0.6315, Adjusted RN Hours Per Day: 1.2217

Total Adjusted Nurse Hours Per Day, per resident: 5.07241

Adjusted Weekend Nurse Hours Per Day, per resident: 4.21793

Health Survey Dates and Scores: Cycle 1: 2023-12-07 (Score: 12), Cycle 2: 2022-07-20 (Score: 24), Cycle 3: 2021-08-05 (Score: 52)

Total Weighted Health Score: 22.667

Reported Incidents: 3, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 3, Total Fines in Dollars: 20705.75, Payment Denials Number: 0, Total Penalties Number: 3

Location and GPS: 300 EAST JEFFERSON,INWOOD,IA,51240 (43.3072, -96.429)

Process Date: 2024-03-01


Health Inspection Citations Details

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:

Citation on 2023-12-07

Type: Health, Deficiency: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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 2024-01-04

Citation on 2023-12-07

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 2024-01-04

Citation on 2023-12-07

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 2024-01-04

Citation on 2022-07-20

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 2022-08-19

Citation on 2022-07-20

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

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 2022-08-19

Citation on 2022-07-20

Type: Health, Deficiency: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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 2022-08-19

Citation on 2021-12-16

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Past Non-Compliance on 2021-12-02

Citation on 2021-08-05

Type: Health, Deficiency: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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 2021-08-18

Citation on 2021-08-05

Type: Health, Deficiency: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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 2021-08-06

Citation on 2021-08-05

Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 2021-08-29

Citation on 2021-08-05

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 2021-08-29

Citation on 2021-08-05

Type: Health, Deficiency: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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 2021-08-29

Citation on 2021-08-05

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

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 2021-08-29


Fire Safety Citations Details

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:

Citation on 2022-07-27

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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 2022-08-27

Citation on 2022-07-27

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler 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 2022-08-09

Citation on 2021-08-10

Type: Fire Safety, Tag: 0919, Version: New

Description: Meet requirements for the use of electrical equipment.

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 2021-08-15