BETHESDA NH PLEASANTVIEW (WILLMAR, MN) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	16.3%
State:	15.5%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	13.7%
Minnesota:	12.5%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	3.0%
State:	4.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.8%
State:	7.6%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	47.6%
State:	47.8%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	1.2%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.7%
State:	5.2%

Percent of long-stay residents who have depressive symptoms

Here:	11.8%
State:	7.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	0.9%
State:	1.0%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	3.8%
State:	3.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.1%
State:	97.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	92.5%
Minnesota:	96.8%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	37.0%
Minnesota:	26.2%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	75.9%
State:	87.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	83.5%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	22.9%
Minnesota:	17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.540
State:	0.794

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.770
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.310
State:	1.543

Complaint Deficiency

Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide routine and 24-hour emergency dental care for each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Many

BETHESDA NH PLEASANTVIEW - WILLMAR, MN

Quality Measures

Staff Information

Complaint Deficiency

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