Clinton, IA

Eagle Point Nursing and Rehabilitation

4-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

801 28th Avenue North, Clinton, IA

(563) 243-6600

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

75

Certified beds

Average residents

54

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Shlomo Hoffman

Operator or chain grouping

Approved since

1994-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing

LPN hours / resident day

0.57

Licensed practical nurse staffing

Aide hours / resident day

2.90

Nurse aide staffing

Weekend hours

3.38

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

42%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.5
0.1 pts worse
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
2.1
0.3 pts better
1.8
About the same
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 71.4%
95.2%
23.8 pts worse
95.5%
24.1 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.7%
3.7 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 41.1%
4.0%
37.1 pts worse
11.4%
29.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.8%
4.9%
1.9 pts worse
5.4%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.1%
20.6%
2.5 pts worse
19.6%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.8%
19.8%
4 pts better
16.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 25.5%
18.5%
7 pts worse
16.3%
9.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.0%
18.3%
3.7 pts worse
14.9%
7.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.6%
1.7%
3.9 pts worse
1.0%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
2.5%
2.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 31.1%
26.0%
5.1 pts worse
19.8%
11.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.7%
4.3%
0.4 pts worse
5.1%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
84.3%
15.1 pts better
81.7%
17.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 20.7%
13.1%
7.6 pts worse
12.0%
8.7 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.9%
0.9 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 35.7%
73.3%
37.6 pts worse
79.7%
44 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.1%
21.3%
4.2 pts better
23.9%
6.8 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

1 health deficiencies

Top issue: Administration (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-06 · Fire 2024-06-06

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-02-09 · Fire 2023-02-09

3 health deficiencies

Top issue: Administration (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-04-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-16

F · Potential for more than minimal harm 2024-06-06

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-06-20

F · Potential for more than minimal harm 2024-06-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-20

F · Potential for more than minimal harm 2024-06-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-06-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-20

F · Potential for more than minimal harm 2023-02-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-15

F · Potential for more than minimal harm 2023-02-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-15

F · Potential for more than minimal harm 2023-02-09

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-15

F · Potential for more than minimal harm 2023-02-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-02-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-15

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-03

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-05-03

F · Potential for more than minimal harm 2024-06-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-06

E · Potential for more than minimal harm 2024-06-06

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-07-06

E · Potential for more than minimal harm 2024-06-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-06

D · Potential for more than minimal harm 2024-06-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-07-06

D · Potential for more than minimal harm 2024-06-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-06

D · Potential for more than minimal harm 2023-02-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-02-09

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-02-09

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-03-09

Penalties and ownership

What sits behind the stars

$0 2024-06-06

Payment Denial

Payment Denial · denial start 2024-09-06 · 17 days

17 day denial

Ownership

Goldberger, Sheldon

5% Or Greater Direct Ownership Interest · Individual

0% 4 facilities 2023-07-01
Harrison, Stephen

Operational/Managerial Control · Individual

0% 3 facilities 2024-01-01
Hoffman, Shlomo

5% Or Greater Direct Ownership Interest · Individual

0% 9 facilities 2023-07-01
Pavel, Asher

5% Or Greater Direct Ownership Interest · Individual

0% 3 facilities 2024-08-01
Pavel, Asher

Operational/Managerial Control · Individual

0% 3 facilities 2024-08-01
Sheinbein, Joshua

5% Or Greater Direct Ownership Interest · Individual

0% 3 facilities 2024-08-01
Sheinbein, Joshua

Operational/Managerial Control · Individual

0% 3 facilities 2024-08-01
Steinbeck, John

Operational/Managerial Control · Individual

0% 1 facilities 2016-09-21
Stellar Healthcare Mgmt LLC

Operational/Managerial Control · Organization

0% 6 facilities 2023-07-01
Svarc, Jonah

5% Or Greater Direct Ownership Interest · Individual

0% 7 facilities 2023-07-01
Svarc, Jonah

Operational/Managerial Control · Individual

0% 7 facilities 2023-07-01

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