| General |
| City |
| Carlton |
Paynesville |
| State attribute explanation |
| Mn |
Mn |
| Street |
| 811 Third Street |
200 First Street West |
| Zip Code |
| 55,718 |
56,362 |
| Phone |
| 2,183,844,258 |
3,202,434,212 |
|
Overall Star Rating |
| 1 |
4 |
|
Health Inspections Star Rating |
| 1 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 96 |
52 |
|
Total Number of Residents |
| 95 |
47 |
|
Percent of Occupied Beds |
| 99 % |
90 % |
| Health Survey Date |
| 8/5/2011 |
1/11/2012 |
| Fire Survey Date |
| 8/5/2011 |
1/11/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
Government - Hospital District |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| No |
No |
| 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 |
| 1 |
|
|
| Staff Information |
| Number of Residents |
| 95 |
47 |
| Number of RN Hours Per Resident Per Day |
| 0.56 |
0.51 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.3 |
0.86 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.86 |
1.37 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/24/2010date Of Correction: 04/08/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 16.1 % |
4.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.1:1 |
17.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.7 % |
2.8 % |
| Percent of long-stay residents who lose too much weight |
| 12.5 % |
11.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 35.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.7 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.8 % |
6.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 19.3 % |
4.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.2:1 |
31.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 71.4 % |
92.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.2 % |
92.3 % |
| 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 |
| 4.5 % |
2.20 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.2 % |
10.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.3 % |
14.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.1 % |
2.9 % |
| Percent of long-stay residents who lose too much weight |
| 9.1 % |
8.1 / 8.8 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 30.5 % |
58.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.3 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.2 % |
5.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 20.3 % |
5.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
5.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.5 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.2 (68.4) |
23.7 (74.7) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 70.5 % |
90.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.6 % |
9.4 / 10.4 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 16 % |
3 % |