Exira Care Center is a small non-profit facility in Exira, Iowa. It looks like this is a very respectable nursing home. We awarded it an overall grade of B, which is a favorable grade. Based on our assessment, this nursing home has quite a bit going for it. The best part of this nursing home's strong report card is its inspection rating. Inspection reports are discussed in the next paragraph
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Exira Care Center
- Nursing Home
Updated Apr 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- No Resident Council
- No Family Council
- Non profit - Corporation
- Speech Therapy
- Occupational Therapy
- Physical Therapy
- Nutritional Counseling
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Registered Staff Hours
In addition to performing well in its overall grade, this facility performed at an even higher level in the area of inspections. In fact, it received a nearly flawless inspection report this year. As a result, it received one of our highest grades in that category with a score of A. Inspection scores are tied to many datapoints located in the a nursing home's recent inspection reports. Places that excel in this area have few deficiencies on those reports. Most importantly, these places generally do not have any severe deficiencies which are associated with risks to patient safety. This place was hit with 5 deficiencies on its inspection report, but none were considered to be major deficiencies. This tells you that the inspectors didn't deem any of these deficiencies an imminent threat to resident safety or health. A few relatively minor deficiencies are not necessarily something to panic about.
Among its many impressive scores, this nursing home earned an excellent nursing rating. We gave it a grade of B+ in that category. Our nursing rating is primarily tied to a nursing home'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 place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any place the nation in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be prevented by providing better nursing care, such as employing a policy of turning patients more often.
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Short-term Care Quality
The next area we graded was short-term care. This nursing home received a very positive short-term care grade, with a B in the category. Short-term care grades are commonly employed to measure a nursing home's rehabilitation services To have highly rated rehabilitation services, facilities generally must provide better levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other licensed professionals. Fortunately, it appear that this facility has registered nurses on staff. Not all nursing homes employs these skilled professionals. However, according to the information this nursing home provided, it does not look like the facility employs physical therapists. The last metric we considered in this category is the number of residents who were able to leave the facility and return to the community. We found that 0 percent of this nursing home's patients were able to return home.
Long-term Care Quality
The last category we looked at was long-term care. We gave this facility a grade of C in that area. In determining our long-term care grades, we scrutinize the assistance with daily living received by a facility's patients. After considering the quantity of care provided by nurses and other staff, we turned to the facility's vaccination record. We were pleased to find that this nursing home vaccinated 99.39024 percent of its residents for pneumonia. This facility was able to keep its patients out of the hospital. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low figure.
Rating Over Time
Compared to national and state averages across all facilities.
Exira Care Center Quality Metrics
Minimizes Pressure Ulcers
In Exira Care Center, 6.16% of Patients had Pressure Ulcers
This is the percent of residents who sustained a pressure ulcer. Pressure ulcers are skin damage due to remaining in one position for an excessive period of time.
Minimizes Serious Falls
In Exira Care Center, 3.87% of Patients had Serious Falls
This is the percentage of patients that suffered from a fall which caused serious injury.
Minimizes Urinary Tract Infections
In Exira Care Center, 3.28% of Patients had UTIs
This figure gauges the percentage of long-term stay patients who suffered from a UTI. UTI's could be an indicator of a nursing home with worse hygiene protocols. However, this metric can also be misleading for some nursing homes due to different reporting standards for UTI's.
Appropriately Uses Anti-Psychotic Medication
In Exira Care Center, 17.54% of Patients use Anti-Psychotic Medication
This statistic is a measure of the percentage of long-term stay residents receiving antipsychotic medications. While antipsychotic drugs play an important role in caring for many residents, it is important to ensure these medications are being used only where medically required. In some cases, excessive reliance on these medications may indicate a facility is using these medications to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Exira Care Center, 19.26% of Patients use Anti-Anxiety Medication
This statistic gauges the percent of long-term patients who are administered antianxiety medication. These medications are commonly used to treat patients suffering from depression or anxiety.
Managing Depression Among Residents
In Exira Care Center, 4.67% of Patients
This indicates the percentage of patients demonstrating symptoms of depression.
Appropriate Vaccine Usage
In Exira Care Center, 93.67% of Patients
This tells you the percent of patients who have received the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In Exira Care Center, 17.07% Percentage of Patients
This is a measure of the percent of long-term patients that required additional assistance with activities of daily living over time. ADL's include activities such as dressing and using the bathroom. Many believe that this is a reasonable measure of a patient's well-being.
Ability to Keep Residents Mobile
In Exira Care Center, 16.9% Percentage of Residents
This metric tracks the percent of long-term residents who maintained mobility. Many would argue that the ability to move around is critical to residents' well-being.
In Exira Care Center, 1.48 Hospitalizations per 1,000 resident days
This indicates the number of hospitalizations per thousand days of patient care.
Short-term Care: Rehospitalizations
In Exira Care Center, 16.9 Percentage of Residents Rehospitalized
This is the number of times residents are rehospitalized per thousand days of short-term patient care. There is generally a correlation between keeping patients out of the hospital and a nursing home's quality of short-term rehabilitation.
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