KITTSON MEMORIAL HOSPITAL (HALLOCK, MN) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.500
Minnesota:	0.794

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

Here:	0.810
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.310
Minnesota:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.050
Minnesota:	0.078

Number Therapy Hours Per Resident Per Day

Here:	0.050
State:	0.087

Process of Care

Heart Attack

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

Here:	10
Minnesota:	7

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

This Nursing Home:	100.0%
State:	96.6%

Heart Failure

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

Here:	64.0%
State:	97.5%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	12.6%
Minnesota:	11.4%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.7%
Minnesota:	18.3%

Use of Medical Imaging

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

Here:	9.900%
Minnesota:	6.118%

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:	15.5%
State:	12.5%

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

Here:	12.8%
Minnesota:	4.1%

Percent of long-stay residents who lose too much weight

Here:	11.3%
Minnesota:	7.6%

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

Here:	11.2%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	12.9%
State:	5.2%

Percent of long-stay residents who were physically restrained

Here:	1.6%
Minnesota:	1.0%

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

This Nursing Home:	10.9%
Minnesota:	3.9%

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

This Nursing Home:	93.7%
Minnesota:	97.0%

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

This Nursing Home:	98.4%
Minnesota:	96.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	11.3%
State:	17.4%

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Potential for minimal harm
- Scope: Many
Restrictions on the use of flammable curtains
- Harm: Potential for minimal harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Potential for minimal harm
- Scope: Many
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
Provide care by qualified persons according to each resident's written plan of care
- 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
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
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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Potential for minimal harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- 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
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 by qualified persons according to each resident's written plan of care
- 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
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
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protected exits that allow the resident to escape the building
- Harm: Potential for minimal harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- 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
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly constructed linen or trash chutes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Many

KITTSON MEMORIAL HOSPITAL - HALLOCK, MN