Provider Name: PLEASANTVIEW HOME
Address: 811 THIRD STREET, KALONA, IA 52247
Phone: (319) 656-2421
County: Washington (910)
Ownership Type: Non profit - Church related
Certified Beds: 70
Average Residents Per Day: 46.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: IOWA MENNONITE BENEVOLENT ASSOCIATION
First Approved Date: September 1, 2002
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.06088, LPN Staff Hours Per Day: 0.4279, RN Staff Hours Per Day: 0.9519, Licensed Staff Hours Per Day: 1.3799
Total Nurse Staff Hours Per Day, per resident: 4.44080
Weekend Nurse Staff Hours: 3.93839, Weekend RN Staff Hours: 0.4607
PT Staff Hours Per Day, per resident: 0.1669
Nurse Staff Turnover: 35.5, Nurse Turnover Note:
RN Turnover: 36.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.7959, Case Mix LPN Hours Per Day: 0.6123, Case Mix RN Hours Per Day: 0.2823
Adjusted Nurse Aide Hours Per Day, per resident: 3.47216, Adjusted LPN Hours Per Day: 0.5157, Adjusted RN Hours Per Day: 1.2704
Total Adjusted Nurse Hours Per Day, per resident: 5.20225
Adjusted Weekend Nurse Hours Per Day, per resident: 4.61369
Health Survey Dates and Scores: Cycle 1: 2023-03-23 (Score: 4), Cycle 2: 2021-12-02 (Score: 4), Cycle 3: 2019-08-15 (Score: 0)
Total Weighted Health Score: 3.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 11, Total Fines in Dollars: 28600.00, Payment Denials Number: 0, Total Penalties Number: 11
Location and GPS: 811 THIRD STREET,KALONA,IA,52247 (41.4898, -91.709)
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: Ensure services provided by the nursing facility meet professional standards of quality.
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 2023-03-24
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 2021-12-14
Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-25
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: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
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 2023-03-27
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 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 2021-12-17
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
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 2019-09-15
Type: Fire Safety, Tag: 0914, Version: New
Description: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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 2019-09-15