GLENCOE REGIONAL HEALTH SERVICES (GLENCOE, MN) Detailed Nursing Home Profile

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Nursing Home:	50.000%
State:	48.041%

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

This Nursing Home:	8.800%
Minnesota:	6.118%

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

Here:	0.083%
State:	0.072%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	4.900%
State:	5.841%

Outpatients with brain CT scans who got a sinus CT scan at the same time

This Nursing Home:	9.800%
State:	2.414%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.670
State:	0.794

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

This Nursing Home:	0.620
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.290
State:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.280
Minnesota:	0.078

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.280
Minnesota:	0.087

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 43%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	3%
State:	3%

Usually

Here:	19%
State:	18%

Always

This Nursing Home:	78%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
Minnesota:	3%

Usually

This Nursing Home:	14%
Minnesota:	14%

Always

Here:	84%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
State:	6%

Usually

This Nursing Home:	27%
Minnesota:	22%

Always

Here:	68%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	5%
State:	5%

Usually

Here:	26%
State:	25%

Always

This Nursing Home:	69%
Minnesota:	70%

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

Sometimes or never

This Nursing Home:	23%
State:	16%

Usually

Here:	19%
State:	20%

Always

This Nursing Home:	58%
Minnesota:	64%

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

Sometimes or never

Here:	4%
Minnesota:	6%

Usually

Here:	18%
State:	18%

Always

Here:	78%
State:	76%

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

Sometimes or never

Here:	5%
Minnesota:	7%

Usually

This Nursing Home:	34%
State:	30%

Always

This Nursing Home:	61%
State:	63%

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

Yes

Here:	88%
Minnesota:	86%

This Nursing Home:	12%
Minnesota:	14%

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

6 or lower

This Nursing Home:	4%
State:	6%

7 or 8

Here:	23%
State:	22%

9 or 10

Here:	73%
State:	72%

Would patients recommend the hospital to friends and family?

This Nursing Home:	2%
State:	3%

Yes, probably

This Nursing Home:	22%
Minnesota:	24%

Yes, definitely

Here:	76%
Minnesota:	73%

Quality Measures

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

Here:	12.5%
State:	15.5%

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

This Nursing Home:	11.3%
Minnesota:	12.5%

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

Here:	5.1%
State:	4.1%

Percent of long-stay residents who lose too much weight

Here:	4.9%
Minnesota:	7.6%

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

This Nursing Home:	37.5%
Minnesota:	47.8%

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

Here:	5.5%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	3.7%
State:	5.2%

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

Here:	3.4%
State:	3.9%

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

Here:	100.0%
Minnesota:	97.0%

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

This Nursing Home:	100.0%
Minnesota:	96.8%

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

This Nursing Home:	32.2%
Minnesota:	26.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	3.6%
State:	1.3%

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

Here:	98.9%
State:	87.6%

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

This Nursing Home:	87.1%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	17.2%
Minnesota:	17.4%

Process of Care

Heart Attack

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	5
State:	7

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

This Nursing Home:	94.0%
Minnesota:	96.6%

Heart Failure

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

This Nursing Home:	97.0%
Minnesota:	97.5%

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

This Nursing Home:	93.0%
Minnesota:	95.0%

Percent of Patients Given Discharge Instructions

Here:	93.0%
Minnesota:	88.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
Minnesota:	98.8%

Pneumonia

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

Here:	90.0%
Minnesota:	97.1%

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

Here:	89.0%
Minnesota:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	90.0%
Minnesota:	94.9%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	92.0%
State:	97.4%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Nursing Home:	100.0%
State:	97.6%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	98.0%
Minnesota:	97.9%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	100.0%
Minnesota:	96.7%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Nursing Home:	100.0%
Minnesota:	97.4%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Nursing Home:	100.0%
State:	99.8%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

Here:	88.0%
State:	92.7%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Nursing Home:	81.0%
Minnesota:	95.2%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	94.0%
Minnesota:	94.0%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Nursing Home:	100.0%
State:	96.8%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

Here:	100.0%
State:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.5%
State:	11.2%

30-Day Mortality Rates from Pneumonia

Here:	11.3%
Minnesota:	11.4%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	25.9%
State:	24.3%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.7%
State:	18.3%

Complaint Deficiency

Conduct initial and periodic assessments of each resident's functional capacity
- 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
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- 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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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: Potential for minimal harm
- Scope: Many
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
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: 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
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many

GLENCOE REGIONAL HEALTH SERVICES - GLENCOE, MN

Use of Medical Imaging

Staff Information

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

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