JOHNSON MEMORIAL HOSP AND HOME (DAWSON, MN) Detailed Nursing Home Profile

Process of Care

Pneumonia

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

This Nursing Home:	100.0%
Minnesota:	97.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	76.0%
State:	94.9%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.7%
Minnesota:	11.4%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.5%
State:	18.3%

Quality Measures

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

This Nursing Home:	13.3%
State:	15.5%

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

Here:	12.4%
State:	12.5%

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

This Nursing Home:	3.0%
Minnesota:	4.1%

Percent of long-stay residents who lose too much weight

Here:	11.3%
State:	7.6%

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

Here:	2.5%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	9.4%
Minnesota:	5.2%

Percent of long-stay residents who have depressive symptoms

Here:	3.8%
State:	7.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.9%
State:	1.0%

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

This Nursing Home:	1.9%
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%
Minnesota:	96.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	13.5%
State:	17.4%

Complaint Deficiency

Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- 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
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: 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: Few
Operate and provide services according to Federal, State, and local laws and professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- 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: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- 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: Minimal harm or potential for actual harm
- Scope: Many
Provide medically-related social services to help each resident achieve the highest possible quality of life
- 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
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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- 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: Minimal harm or potential for actual harm
- Scope: Few
Maintain comfortable sound levels
- 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
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

Use of Medical Imaging

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

This Nursing Home:	2.000%
State:	6.118%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 51%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	2%
State:	3%

Usually

This Nursing Home:	18%
State:	18%

Always

Here:	80%
Minnesota:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	2%
State:	3%

Usually

This Nursing Home:	21%
Minnesota:	14%

Always

This Nursing Home:	77%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	7%
State:	6%

Usually

Here:	14%
Minnesota:	22%

Always

This Nursing Home:	79%
Minnesota:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	6%
Minnesota:	5%

Usually

Here:	13%
State:	25%

Always

Here:	81%
Minnesota:	70%

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

Sometimes or never

Here:	29%
State:	16%

Usually

Here:	14%
Minnesota:	20%

Always

This Nursing Home:	57%
State:	64%

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

Sometimes or never

Here:	10%
Minnesota:	6%

Usually

Here:	13%
State:	18%

Always

Here:	77%
State:	76%

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

Sometimes or never

Here:	5%
State:	7%

Usually

This Nursing Home:	24%
Minnesota:	30%

Always

Here:	71%
State:	63%

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

Yes

Here:	73%
State:	86%

Here:	27%
Minnesota:	14%

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

6 or lower

This Nursing Home:	8%
Minnesota:	6%

7 or 8

This Nursing Home:	14%
State:	22%

9 or 10

This Nursing Home:	78%
State:	72%

Would patients recommend the hospital to friends and family?

This Nursing Home:	2%
State:	3%

Yes, probably

This Nursing Home:	17%
State:	24%

Yes, definitely

This Nursing Home:	81%
Minnesota:	73%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.730
Minnesota:	0.794

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

This Nursing Home:	0.600
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.320
State:	1.543

JOHNSON MEMORIAL HOSP AND HOME - DAWSON, MN

Process of Care

Pneumonia

Outcome of Care

Quality Measures

Complaint Deficiency

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Staff Information

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