| General |
| City |
| Minneapolis |
Roseville |
| State attribute explanation |
| Mn |
Mn |
| Street |
| 618 East 17th Street |
1910 West County Road D |
| Zip Code |
| 55,404 |
55,112 |
| Phone |
| 6,128,792,800 |
6,516,316,200 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 5 |
5 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 110 |
119 |
|
Total Number of Residents |
| 89 |
92 |
|
Percent of Occupied Beds |
| 81 % |
77 % |
| Health Survey Date |
| 4/12/2012 |
5/5/2011 |
| Fire Survey Date |
| 4/12/2012 |
5/5/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 3 |
4 |
|
| Staff Information |
| Number of Residents |
| 89 |
88 |
| Number of RN Hours Per Resident Per Day |
| 1.29 |
2.27 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.32 |
0.51 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.61 |
2.77 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.28 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.28 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 02/10/2012date Of Correction: 03/16/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/06/2012date Of Correction: 03/22/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/10/2012date Of Correction: 03/16/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 03/06/2012date Of Correction: 03/22/2012 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 01/04/2010date Of Correction: 02/25/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 03/05/2010date Of Correction: 04/27/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/05/2010date Of Correction: 04/27/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.6 (65.5) |
11.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19 % |
3.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.8 % |
19 % |
| Percent of long-stay residents who lose too much weight |
| 6 % |
14.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
8.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.8 % |
2 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.8 % |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 37 % |
25.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.7 % |
84.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.7 % |
76.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.6 % |
1.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 16.9-24 |
11.2-20 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.1 % |
4.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
11.7 % |
| Percent of long-stay residents who lose too much weight |
| 7.5 % |
11 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 6.9 % |
34.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.5 - 2.0 |
9.4 / 10.4 |
| Percent of long-stay residents with a urinary tract infection |
| 3.9 % |
3.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 6 % |
2.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
4.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 30 % |
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.4 % |
78 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.4 % |
72.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.3:1 |
22.1 (71.8) |