HENDRICKS COMMUNITY HOSPITAL (HENDRICKS, MN) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	14.3%
Minnesota:	15.5%

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

This Nursing Home:	5.9%
State:	12.5%

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

Here:	5.7%
Minnesota:	4.1%

Percent of long-stay residents who lose too much weight

Here:	5.6%
State:	7.6%

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

Here:	7.1%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	1.8%
Minnesota:	5.2%

Percent of long-stay residents who have depressive symptoms

Here:	3.8%
State:	7.4%

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

This Nursing Home:	7.1%
Minnesota:	3.9%

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

Here:	84.9%
Minnesota:	97.0%

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

Here:	91.1%
Minnesota:	96.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	7.3%
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:	6
State:	7

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

This Nursing Home:	85.0%
State:	96.6%

Pneumonia

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	36.0%
Minnesota:	94.9%

Outcome of Care

30-Day Mortality Rates from Pneumonia

Here:	14.1%
Minnesota:	11.4%

Complaint Deficiency

Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- 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
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
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
Corridor and hallway doors that block smoke
- 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: Some
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- 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
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
Check and assess each resident's assessment at least every 3 months
- 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: Some
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: Some

Use of Medical Imaging

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

This Nursing Home:	2.400%
Minnesota:	6.118%

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

Here:	0.014%
Minnesota:	0.072%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.870
State:	0.794

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

This Nursing Home:	0.330
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.210
Minnesota:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.078

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
Minnesota:	0.087

HENDRICKS COMMUNITY HOSPITAL - HENDRICKS, MN