| Hallmar Village | |
| 8900 C Avenue Ne, Cedar Rapids, Iowa 52402 | |
| (319) 369-4638 | |
| Name | Hallmar Village |
|---|---|
| Location | 8900 C Avenue Ne, Cedar Rapids, Iowa |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 55 |
| Occupancy Rate | 96.91% |
| Medicare ID (CCN) | 165798 |
| Legal Business Name | Mercy-phs Senior Housing, Inc. |
| Ownership Type | Non Profit - Church Related |
| Chain | Presbyterian Homes & Services (21 nursing homes) |
| Chain Average Overall Rating | 4.3 out of 5 |
| NPI Number | 1851094551 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Mercy-phs Senior Housing Inc |
| Doing Business As | Hallmar Village |
| Address | 8900 C Ave Ne, Cedar Rapids, IA 52402 |
| Phone Number | 319-304-6127 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.46 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.72 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.45 | 0.86 |
| Nurse aide hours per resident per day | 3.28 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.12 | 3.42 |
| RN hours per resident per day on the weekend | 0.29 | 0.48 |
| Physical therapist hours per resident per day | 0.12 | 0.07 |
| Total nursing staff turnover | 51.4% | 45.8% |
| Registered nurse turnover | 75% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $11,960 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 23, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Apr 9, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by May 6, 2026 |
| Oct 2, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 6, 2025 |
| Oct 2, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Oct 6, 2025 |
| Oct 2, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 6, 2025 |
| Oct 2, 2025 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 6, 2025 |
| Oct 2, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 6, 2025 |
| Oct 2, 2025 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Oct 6, 2025 |
| Jul 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jul 28, 2025 |
| Apr 29, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 5, 2025 |
| Apr 29, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by May 5, 2025 |
| Jan 23, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Actual harm, isolated | Corrected by Jan 29, 2025 |
| Jan 23, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Jan 23, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Jan 23, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Dec 10, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Complaint inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Sep 26, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 27, 2024 |
| Jul 3, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jul 24, 2024 |
| Jul 3, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by Aug 2, 2024 |
| Jul 3, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 2, 2024 |
| Dec 28, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 28, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 25 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.38 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 9.36 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.67 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.02 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.66 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.29 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.94 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.45 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.05 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.9 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.16 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.33 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.39 | 15.38 |
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