Crestview Specialty Care is a small non-profit nursing home in West Branch, Iowa. With an overall grade of B+, this facility should work for most prospective patients. This nursing home definitely has plenty going for it. The best part of this nursing home's strong profile was its inspection rating. We discuss inspections in the next section
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Crestview Specialty Care
- Nursing Home
Updated Apr 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- Non profit - Corporation
- Secure Memory Care
- Offers Hospice
- Offers Respite Care
- Offers Inpatient Rehab
- Offers Outpatient Rehab
- Medication Management
- Home Making
- Speech Therapy
- Stroke Recovery
- IV Antibiotic Therapy
- Palliative Care
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Physical Therapy
- Nutritional Counseling
- Recreational Therapy
- Pain Management
- Bariatric Care
- Orthopedic Rehabilitation
- Total Parenteral Nutrition
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Registered Staff Hours
In addition to being a great overall grade, this facility also received A+ health inspections in recent years. Its inspections were virtually flawless. Perhaps the most important factor we look at in calculating our inspection grades is deficiencies. These deficiencies are found on a nursing home's inspection reports. Nursing homes with better grades in this category typically dodged the most severe deficiencies involving things like patient abuse. Amazingly, this was one of the few nursing homes in the country that had no deficiencies whatsoever on its inspection report. This is very impressive. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
This facility received high grades in the area of nursing as well. In fact, it received one of our highest grades in that category with a score of A-. Our nursing grade is mostly associated with a facility's nurse staffing. This particular nursing home provided 0.3 hours of nursing care per resident per day. Finally, we also assessed several nursing quality measures and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home Iowa in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can typically be prevented by providing better nursing care, such as by employing a system of turning a patient at least once a day.
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Long-term Care Quality
The next area we looked at was long-term care. This nursing home was awarded a very positive long-term care grade, with a B+ in the category. In a long-term care environment, the nursing home's primary goal is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate patients. After looking at the amount of care provided by nurses aids and other staff, we next considered the nursing home's vaccination data. This nursing home vaccinated 93.59606 percent of its patients for pneumonia, which happens to be somewhat below what we were hoping for but still a respectable figure. Clearly, this facility is doing something right in this area as it was able to keep its residents out of the hospital. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.
Short-term Care Quality
The next area we scored is short-term care, which ended up being a weak spot for this facility. We gave this nursing home a grade of D in our short-term care category, rendering this the nursing home's weakest category. We'd nevertheless suggest that you consider all of a facility's category grades. Short-term care ratings are critical for prospective residents requiring rehabilitation. Rehabilitation typically mandates additional highly-skilled nursing. This includes a broad spectrum of services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. Unfortunately, this nursing home was below average in terms of its quantity of physical therapy and registered nurse hours provided to its residents based on the measures we assessed. Finally, we considered the percentage of patients that returned home from this nursing home. This nursing home didn't fare well here either. In fact, we found that just 3.8 percent of this facility's residents were able to return home.
Rating Over Time
Compared to national and state averages across all facilities.
Crestview Specialty Care Quality Metrics
Minimizes Pressure Ulcers
In Crestview Specialty Care, 6.16% of Patients had Pressure Ulcers
This tells you the percentage of residents that suffered from a pressure ulcer. Pressure ulcers, also called bed sores, are often caused by patients staying in one position for too long. Better nursing protocols limits the percentage of residents in a nursing home who sustain pressure ulcers.
Minimizes Serious Falls
In Crestview Specialty Care, 3.87% of Patients had Serious Falls
This indicates the percentage of patients who sustained a major fall. Falls resulting in major injury are often caused by lower quality nursing care. Better nursing protocols can limit the number of major falls sustained by residents in a nursing home.
Minimizes Urinary Tract Infections
In Crestview Specialty Care, 3.28% of Patients had UTIs
This datapoint gauges the percentage of long-term stay patients who had UTI's. UTI's could be an indication of a nursing home with worse hygiene protocols. However, this statistic can also be misleading for certain facilities due to inconsistent reporting standards for UTI's.
Appropriately Uses Anti-Psychotic Medication
In Crestview Specialty Care, 17.54% of Patients use Anti-Psychotic Medication
This indicates the percentage of patients prescribed antipsychotic medications. Antipsychotic drugs are administered to residents for a variety of conditions, such as Alzheimer's or other dementias. Sadly, in some situations, increased usage of these drugs may suggest a facility is using these drugs to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Crestview Specialty Care, 19.26% of Patients use Anti-Anxiety Medication
This datapoint indicates the percent of long-term residents who are administered antianxiety drugs. These drugs are given to patients experiencing depression or anxiety.
Managing Depression Among Residents
In Crestview Specialty Care, 4.67% of Patients
This is the percent of patients who are exhibiting depressive symptoms. Increased rates of depression may indicate lower quality care.
Appropriate Vaccine Usage
In Crestview Specialty Care, 93.67% of Patients
This metric is a measure of the percentage of long-term care patients that received the flu and pneumonia vaccines. Respiratory viruses can be fatal for seniors, making these types of vaccines important for resident well-being.
Residents Maintain Autonomy
In Crestview Specialty Care, 17.07% Percentage of Patients
This indicates the percentage of patients that needed more assistance with activities of daily living over time.
Ability to Keep Residents Mobile
In Crestview Specialty Care, 16.9% Percentage of Residents
This datapoint is a measure of the percentage of long-term stay patients who maintained mobility. Many in the industry would argue that mobility is vital to residents' mental and physical health.
In Crestview Specialty Care, 1.48 Hospitalizations per 1,000 resident days
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care.
Short-term Care: Rehospitalizations
In Crestview Specialty Care, 16.9 Percentage of Residents Rehospitalized
This metric measures the number of rehospitalizations per 1,000 days of short-term resident care. Keeping residents out of the hospital during rehabilitation is critical to restoring the physical well-being of residents.
Short-term Care: ER Visits
In Crestview Specialty Care, 12.73 Percentage of Patients
This metric is a measure of the number of times residents are sent to the emergency room per thousand days of short-term care. Avoiding medical emergencies is one way to assess short-term care.
Short-term Care: Facilitates Functional Improvement
In Crestview Specialty Care, 77.73% Percentage of Resident
This indicates the percent of short-term stay patients who saw functional improvements, such as with activities of daily living.
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