Elmwood Care Centre
222 North 15th Street, Onawa IA 51040 · (712) 423-2510 · 83.14% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Elmwood Care Centre is located in Onawa, Iowa. This facility is a lower end facility. A grade in this range suggests we found some red flags. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Onawa. Despite all this, one of the few highlights of this nursing home's report card is its strong inspection reports. You can scroll down to learn more about inspections and other category grades
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 54 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While we were not very complementary of this nursing home's overall score, it actually received a very impressive inspection report this year. In fact, it received a nearly flawless inspection report this year. As a result, it received one of our highest scores in that category with a grade of A-. Our inspection scores are based on datapoints located in the a nursing home's recent inspection reports. Deficiencies are a key thing to look for on these inspections. You should especially avoid facilities with severe deficiencies linked to endangerment of patients. Although this facility had a few deficiencies on its inspection report, none were serious based on CMS' deficiency scale. A few minor deficiencies are not the end of the world.
Nurse Quality
We also want to point out that this facility received a decent grade in our nursing category. We awarded it a grade of B- in the area. Our nursing rating is primarily tied to a facility's level of nurse staffing. This nursing home averages just 3 hours of nursing care per resident per day. This is a very low figure. Lastly, our nursing scores also consider quality-based measures, such as preventing major falls. Despite not having the most impressive total nursing hours per resident, this place performed admirably in the metric of preventing major falls. This is typically a reliable indicator that a facility has sufficient quality controls in place. Many falls could be avoided if a nursing home supplies enough nurses aids to assist its patients.
Short-term Care Quality
We also awarded this nursing home a middle of the pack grade in the category of short-term care, where we awarded it a grade of C. Our short-term care grade is typically used to score a facility's rehabilitation services To offer highly rated rehabilitation services, nursing homes generally must provide higher levels of skilled nursing. Skilled nursing includes registered nurses, physical therapists, respiratory therapists and other licensed professionals. We were surprised to find that this place was below average in the two key staffing areas we focus on. In fact, it supplied fewer registered nurse and physical therapist hours per resident than most other facilities. Finally, we considered the percentage of residents who were able to return to the community from this facility. We found that it performed decently in this area, with 45.5 percent of its patients returning home.
Long-term Care Quality
The last category we rated was long-term care. It received an abysmal F for this area, which is a very poor grade. When nursing homes receive a score in this range in this category it typically means the facility didn't perform well in our measures relating to patient care. Once we assessed the amount of care provided by nurses, we then analyzed the nursing home's vaccination record. We were a bit concerned this facility vaccinated only 65.08876 percent of its patients against pneumonia. To our surprise, this facility actually fared well at keeping its residents out of the hospital. Indeed, it had just 1.61 hospitalizations per 1,000 long-term resident days. This is its best score in this category.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Elmwood Care Centre Quality Metrics
Minimizes Pressure Ulcers
This is the percent of patients who suffered from a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be an indicator of nursing care . Pressure ulcers, which are also referred to as bed sores, are routinely caused by patients not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is an indication of the percentage of long-term care patients who had a fall which resulted in serious injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients that have had a urinary tract infection. These infections are linked to inadequate hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric indicates the percent of long-term patients who are given antipsychotic drugs. High levels of antipsychotic drug use may indicate a nursing home is using these drugs to control patient behavior in scenarios where such medications aren't medically required. However, some nursing homes need to rely on these medications due to having more residents suffering from dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of long-term residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percent of long-term residents exhibiting symptoms of depression. Many in the industry argue that this is a reliable measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of residents that were given the pneumonia and flu vaccines. High vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percent of residents that required additional assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's could be a sign of the decline of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term patients that were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is critical to preserving the physical health of patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric tracks the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This datapoint is a measure of the percent of short-term stay residents who experienced functional improvements.
Percentage of Resident
Higher is Better