| General |
| City |
| Columbia Heights |
Minneapolis |
| State attribute explanation |
| Mn |
Mn |
| Street |
| 4444 Reservoir Boulevard Northeast |
1007 East 14th Street |
| Zip Code |
| 55,421 |
55,404 |
| Phone |
| 7,637,821,611 |
6,122,385,101 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 1 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 122 |
287 |
|
Total Number of Residents |
| 114 |
268 |
|
Percent of Occupied Beds |
| 93 % |
93 % |
| Health Survey Date |
| 5/2/2012 |
8/19/2011 |
| Fire Survey Date |
| 4/25/2012 |
8/19/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 6 |
75.2 |
| Total Enforcement Actions Count |
| 6 |
75.2 |
| # of deficiencies |
| 4 |
4 |
|
| Staff Information |
| Number of Residents |
| 114 |
268 |
| Number of RN Hours Per Resident Per Day |
| 0.79 |
0.79 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.69 |
0.63 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.48 |
1.42 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 03/30/2010date Of Correction: 05/09/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 12/16/2011date Of Correction: 01/25/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/10/2009date Of Correction: 10/15/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 08/25/2010date Of Correction: 10/08/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/10/2009date Of Correction: 10/15/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 01/26/2010date Of Correction: 03/25/2010 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 09/10/2009date Of Correction: 10/15/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 09/11/2009date Of Correction: 10/21/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.7 % |
16.9-24 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.1 % |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20.5 % |
6.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.8 % |
5.4 % |
| Percent of long-stay residents who lose too much weight |
| 7 % |
6.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 48.5 % |
50.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.4 % |
5.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.9 % |
3.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
4.8 % |
| Percent of long-stay residents who were physically restrained |
| 2.9 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 32.3 % |
45.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 81.3 % |
95.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 78.3 % |
92.2 % |
| 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 |
| 1.9 % |
3.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.4 % |
16.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
1.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.8 % |
6.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.9 % |
5.3 % |
| Percent of long-stay residents who lose too much weight |
| 8.2 % |
5.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50.9 % |
47.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.1 % |
6 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.6 % |
3.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.8 % |
5.7 % |
| Percent of long-stay residents who were physically restrained |
| 2.6 / 3 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.6 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 30.1 % |
42.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 77.7 % |
93.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 75.6 % |
92.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 18.4 % |
2.3 % |