ELM CREST MANOR (NEW SALEM, ND) Detailed Nursing Home Profile

Complaint Deficiency

An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Potential for minimal harm
- Scope: Some
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that paid feeding assistants 1) completed training; 2) works under the supervision of a RN or LPN; and 3) feeds only residents who have no complicated feeding problems
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Potential for minimal harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Many
Maintain comfortable and safe temperature levels
- Harm: Potential for minimal harm
- Scope: Many
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Potential for minimal harm
- Scope: Many
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.510
North Dakota:	0.765

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

Here:	0.750
State:	0.635

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.250
State:	1.400

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.040
State:	0.054

Number Therapy Hours Per Resident Per Day

Here:	0.040
North Dakota:	0.060

Quality Measures

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

This Nursing Home:	11.9%
North Dakota:	16.4%

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

This Nursing Home:	22.3%
State:	13.0%

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

This Nursing Home:	13.6%
State:	4.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.7%
North Dakota:	6.4%

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

This Nursing Home:	45.7%
North Dakota:	45.5%

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

This Nursing Home:	6.7%
North Dakota:	4.4%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	9.4%
State:	6.0%

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

Here:	6.3%
North Dakota:	5.5%

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

This Nursing Home:	98.4%
State:	97.5%

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

This Nursing Home:	100.0%
North Dakota:	98.1%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	15.9%
State:	19.5%

ELM CREST MANOR - NEW SALEM, ND

Complaint Deficiency

Staff Information

Quality Measures

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