| General |
| City |
| Stewartville |
Coon Rapids |
| State attribute explanation |
| Mn |
Mn |
| Street |
| 120 Fourth Street Northeast |
11800 Xeon Boulevard |
| Zip Code |
| 55,976 |
55,448 |
| Phone |
| 5,075,334,288 |
7,637,558,400 |
|
Overall Star Rating |
| 2 |
3 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 85 |
94 |
|
Total Number of Residents |
| 78 |
89 |
|
Percent of Occupied Beds |
| 92 % |
95 % |
| Health Survey Date |
| 5/24/2012 |
8/25/2011 |
| Fire Survey Date |
| 5/24/2012 |
8/25/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 7 |
|
|
| Staff Information |
| Number of Residents |
| 78 |
89 |
| Number of RN Hours Per Resident Per Day |
| 0.88 |
0.79 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.61 |
0.91 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.49 |
1.7 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.06 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 12/21/2010date Of Correction: 02/24/2011 |
|
| Deficiency #2 |
| 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: 12/21/2010date Of Correction: 02/24/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 12/21/2010date Of Correction: 02/24/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/21/2010date Of Correction: 02/24/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 12/21/2010date Of Correction: 02/24/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 12/21/2010date Of Correction: 02/24/2011 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 09/18/2009date Of Correction: 10/27/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.9 % |
4.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20 % |
2.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
3.8 % |
| Percent of long-stay residents who lose too much weight |
| 7.4 % |
11.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 51.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 9.6 % |
5.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.9 % |
8.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 13.2 % |
11.8:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
7.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.7 (74.7) |
42.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.6 % |
86.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.9 % |
89.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.1 % |
3.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.2 % |
4.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.4 % |
10.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.8 % |
1.9 % |
| Percent of long-stay residents who lose too much weight |
| 8.6:1 |
9.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 50.4 % |
55 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.4 % |
5.6:1 |
| Percent of long-stay residents with a urinary tract infection |
| 4.3 % |
6.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.5 % |
13.6-28 |
| Percent of long-stay residents who were physically restrained |
| 0.5 - 2.0 |
5.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.2 % |
3.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.9 % |
39.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 69.9 % |
87.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.9 % |
91.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 13.2 % |
3.1 % |