FIRST CARE LIVING CENTER (FOSSTON, MN) Detailed Nursing Home Profile

Complaint Deficiency

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- 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
Check and assess each resident's assessment at least every 3 months
- 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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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
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
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

Here:	100.0%
State:	97.5%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	100.0%
State:	95.0%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:	100.0%
Minnesota:	97.1%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Nursing Home:	100.0%
Minnesota:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
Minnesota:	94.9%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	11.3%
Minnesota:	11.2%

30-Day Mortality Rates from Pneumonia

Here:	11.5%
Minnesota:	11.4%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	23.3%
State:	24.3%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.9%
Minnesota:	18.3%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.620
State:	0.794

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

Here:	0.650
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.280
State:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
State:	0.078

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Minnesota:	0.087

Quality Measures

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

Here:	28.6%
State:	15.5%

Percent of long-stay residents who lose too much weight

Here:	2.7%
Minnesota:	7.6%

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

This Nursing Home:	4.4%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	2.7%
State:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.8%
Minnesota:	7.4%

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

Here:	5.4%
State:	3.9%

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

Here:	100.0%
State:	97.0%

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

This Nursing Home:	100.0%
State:	96.8%

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

Here:	4.8%
State:	26.2%

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

Here:	63.0%
Minnesota:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	13.9%
State:	17.4%

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	3.800%
State:	6.118%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Nursing Home:	0.038%
State:	0.072%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	2%
State:	3%

Usually

Here:	19%
Minnesota:	18%

Always

This Nursing Home:	79%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	1%
State:	3%

Usually

This Nursing Home:	11%
State:	14%

Always

Here:	88%
Minnesota:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	2%
State:	6%

Usually

This Nursing Home:	28%
State:	22%

Always

This Nursing Home:	70%
Minnesota:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
Minnesota:	5%

Usually

This Nursing Home:	24%
Minnesota:	25%

Always

Here:	68%
Minnesota:	70%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	12%
State:	16%

Usually

This Nursing Home:	17%
Minnesota:	20%

Always

This Nursing Home:	71%
Minnesota:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Nursing Home:	3%
Minnesota:	6%

Usually

This Nursing Home:	24%
State:	18%

Always

This Nursing Home:	73%
Minnesota:	76%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	5%
Minnesota:	7%

Usually

Here:	26%
Minnesota:	30%

Always

Here:	69%
State:	63%

Were patients given information about what to do during their recovery at home?

Yes

Here:	90%
State:	86%

Here:	10%
State:	14%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	7%
Minnesota:	6%

7 or 8

This Nursing Home:	23%
Minnesota:	22%

9 or 10

This Nursing Home:	70%
State:	72%

Would patients recommend the hospital to friends and family?

Here:	1%
Minnesota:	3%

Yes, probably

Here:	22%
State:	24%

Yes, definitely

Here:	77%
Minnesota:	73%

FIRST CARE LIVING CENTER - FOSSTON, MN

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Staff Information

Quality Measures

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

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