HEART OF AMERICA NURSING FACILITY (RUGBY, ND) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	23.4%
North Dakota:	16.4%

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

This Nursing Home:	16.2%
North Dakota:	13.0%

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

This Nursing Home:	1.9%
North Dakota:	4.1%

Percent of long-stay residents who lose too much weight

Here:	10.3%
State:	6.4%

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

Here:	3.2%
State:	4.4%

Percent of long-stay residents with a urinary tract infection

Here:	8.8%
North Dakota:	6.0%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.4%
North Dakota:	6.3%

Percent of long-stay residents who were physically restrained

Here:	1.4%
North Dakota:	1.0%

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

This Nursing Home:	2.9%
State:	5.5%

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

Here:	98.5%
North Dakota:	97.5%

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

Here:	97.1%
North Dakota:	98.1%

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

Here:	37.0%
North Dakota:	22.3%

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

This Nursing Home:	95.7%
State:	90.3%

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

This Nursing Home:	69.0%
State:	89.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	13.4%
State:	19.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.480
State:	0.765

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

Here:	0.870
North Dakota:	0.635

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.340
North Dakota:	1.400

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.020
State:	0.054

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.020
North Dakota:	0.060

Use of Medical Imaging

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

This Nursing Home:	6.000%
State:	7.578%

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

Here:	0.048%
State:	0.128%

Process of Care

Heart Failure

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

This Nursing Home:	78.0%
North Dakota:	94.3%

Pneumonia

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

Here:	94.0%
State:	95.4%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	96.0%
State:	95.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	50.0%
State:	97.7%

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

This Nursing Home:	96.0%
State:	91.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	91.0%
State:	87.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	97.0%
North Dakota:	93.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.3%
State:	11.9%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.5%
State:	11.9%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	22.8%
State:	23.9%

30-Day Readmission Rates from Pneumonia

Here:	17.6%
State:	18.2%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 45%

How often did nurses communicate well with patients?

Sometimes or never

Here:	1%
North Dakota:	4%

Usually

This Nursing Home:	17%
North Dakota:	19%

Always

Here:	82%
North Dakota:	77%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	1%
State:	4%

Usually

This Nursing Home:	17%
North Dakota:	18%

Always

Here:	82%
State:	78%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	2%
North Dakota:	7%

Usually

Here:	26%
North Dakota:	28%

Always

This Nursing Home:	72%
North Dakota:	65%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	4%
North Dakota:	6%

Usually

Here:	18%
State:	25%

Always

Here:	78%
State:	69%

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

Sometimes or never

This Nursing Home:	19%
State:	18%

Usually

This Nursing Home:	20%
State:	21%

Always

Here:	61%
North Dakota:	61%

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

Sometimes or never

Here:	4%
State:	8%

Usually

This Nursing Home:	13%
North Dakota:	20%

Always

Here:	83%
State:	72%

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

Sometimes or never

This Nursing Home:	2%
North Dakota:	10%

Usually

This Nursing Home:	42%
State:	34%

Always

This Nursing Home:	56%
North Dakota:	56%

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

Yes

This Nursing Home:	82%
North Dakota:	84%

This Nursing Home:	18%
State:	16%

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

6 or lower

This Nursing Home:	5%
State:	9%

7 or 8

This Nursing Home:	21%
State:	24%

9 or 10

This Nursing Home:	74%
State:	67%

Would patients recommend the hospital to friends and family?

Here:	1%
State:	4%

Yes, probably

Here:	22%
State:	27%

Yes, definitely

This Nursing Home:	77%
North Dakota:	69%

Complaint Deficiency

Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- 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
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- 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: Some
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 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: Some
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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An automatic smoke detection system in all hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- 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
Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- 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
Have a program that investigates, controls and keeps infection from spreading
- 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: Minimal harm or potential for actual harm
- Scope: Many

HEART OF AMERICA NURSING FACILITY - RUGBY, ND

Quality Measures

Staff Information

Use of Medical Imaging

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

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