MAYO CLINIC HEALTH SYSTEM - LAKE CITY (LAKE CITY, MN) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 47%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	1%
State:	3%

Usually

Here:	17%
Minnesota:	18%

Always

This Nursing Home:	82%
Minnesota:	79%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	4%
State:	3%

Usually

Here:	17%
State:	14%

Always

This Nursing Home:	79%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	5%
State:	6%

Usually

Here:	22%
State:	22%

Always

Here:	73%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	7%
Minnesota:	5%

Usually

Here:	25%
State:	25%

Always

This Nursing Home:	68%
Minnesota:	70%

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

Sometimes or never

Here:	16%
Minnesota:	16%

Usually

This Nursing Home:	25%
Minnesota:	20%

Always

This Nursing Home:	59%
State:	64%

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

Sometimes or never

Here:	3%
Minnesota:	6%

Usually

Here:	13%
State:	18%

Always

This Nursing Home:	84%
State:	76%

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

Sometimes or never

This Nursing Home:	13%
State:	7%

Usually

Here:	28%
Minnesota:	30%

Always

Here:	59%
Minnesota:	63%

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

Yes

This Nursing Home:	83%
Minnesota:	86%

This Nursing Home:	17%
Minnesota:	14%

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

6 or lower

Here:	5%
Minnesota:	6%

7 or 8

This Nursing Home:	22%
Minnesota:	22%

9 or 10

Here:	73%
Minnesota:	72%

Would patients recommend the hospital to friends and family?

Here:	4%
State:	3%

Yes, probably

Here:	19%
Minnesota:	24%

Yes, definitely

Here:	77%
State:	73%

Process of Care

Heart Attack

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

Here:	2
State:	7

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

Here:	96.0%
Minnesota:	96.6%

Pneumonia

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

This Nursing Home:	100.0%
Minnesota:	97.1%

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

Here:	94.0%
State:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	94.0%
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:	80.0%
State:	97.4%

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

Here:	89.0%
Minnesota:	97.6%

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

Here:	95.0%
State:	97.9%

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

This Nursing Home:	100.0%
Minnesota:	96.7%

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

Here:	94.0%
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%
Minnesota:	99.8%

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

This Nursing Home:	100.0%
Minnesota:	92.7%

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

Here:	100.0%
State:	99.3%

Use of Medical Imaging

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

Here:	7.000%
Minnesota:	6.118%

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

Here:	4.100%
Minnesota:	5.841%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.060
State:	0.794

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

Here:	0.480
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.550
State:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.040
Minnesota:	0.078

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.040
State:	0.087

Quality Measures

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

This Nursing Home:	21.1%
Minnesota:	15.5%

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

This Nursing Home:	20.1%
Minnesota:	12.5%

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

This Nursing Home:	3.7%
State:	4.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.3%
Minnesota:	7.6%

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

Here:	25.7%
State:	47.8%

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

Here:	9.6%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	1.3%
State:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	5.5%
Minnesota:	7.4%

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

Here:	5.2%
Minnesota:	3.9%

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

This Nursing Home:	100.0%
State:	97.0%

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

This Nursing Home:	100.0%
State:	96.8%

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

Here:	22.2%
Minnesota:	26.2%

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

Here:	100.0%
State:	87.6%

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

Here:	100.0%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	9.5%
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: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- 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: 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
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- 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
Provide routine and 24-hour emergency dental care for each resident
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure medically necessary lab services/tests are ordered by the attending physician
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Reasonably accommodate the needs and preferences of each 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
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
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
The appropriate emergency electrical equipment
- 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
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
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- 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
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide or obtain dental services for each resident
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

MAYO CLINIC HEALTH SYSTEM - LAKE CITY - LAKE CITY, MN

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Pneumonia

Surgery

Use of Medical Imaging

Staff Information

Quality Measures

Complaint Deficiency

User Contributions:

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