GUARDIAN ANGELS HEALTH AND REHAB CENTER - HIBBING, MN

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Addresss:

1500 EAST THIRD AVENUE
HIBBING, MN, 55746

Phone (make sure to verify first before calling): (218) 263-7583

Number of Certified Beds: 96
Total Number of Residents: 81
Percent of Occupied Beds: 84%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.70

Administrative Staff - Part Time: 1.59

Certified Nurse Aides - Full Time: 14.17

Certified Nurse Aides - Part Time: 23.01

Food Service Personnel - Full Time: 3.76

Food Service Personnel - Part Time: 9.20

Housekeeping Personnel - Full Time: 3.99

Licensed Practical/ Vocational Nurses - Full Time: 6.84

Licensed Practical/ Vocational Nurses - Part Time: 4.73

Medical Directors - Under Contract: 1.14

Nurses With Administrative Duties - Full Time: 1.14

Occupational Therapy Aides - Full Time: 0.86

Registered Nurses - Full Time: 2.07

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 0.87

Activities Professionals - Full Time: 1.14

Dietitians - Part Time: 0.13

Nurses With Administrative Duties - Part Time: 1.36

Physical Therapists - Part Time: 0.64

Administrative Staff - Under Contract: 1.14

Registered Nurses - Part Time: 4.50

Housekeeping Personnel - Part Time: 10.49

Occupational Therapists - Full Time: 1.03

Physical Therapists - Full Time: 1.03

Physical Therapy Aide - Full Time: 1.59

Speech Pathologists - Part Time: 0.51

Occupational Therapy Aides - Part Time: 1.36

Number Of Beds

Total: 112

Total Certified: 112

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Offsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Non Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- 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
No-smoking signs where oxygen is used
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide access to a telephone for resident to use in private
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- 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
Provide necessary care and services to maintain the highest well being of each resident
- 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
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
Operate and provide services according to Federal, State, and local laws and professional standards
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Quality Measures

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

Here:	11.0%
State:	15.5%

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

Here:	6.0%
State:	12.5%

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

Here:	8.3%
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:	53.8%
State:	47.8%

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

This Nursing Home:	3.7%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	5.2%
State:	5.2%

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

This Nursing Home:	5.1%
Minnesota:	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

Here:	100.0%
State:	96.8%

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

Here:	11.7%
Minnesota:	26.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	1.7%
Minnesota:	1.3%

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

Here:	95.0%
State:	87.6%

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

Here:	89.7%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	7.7%
Minnesota:	17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.800
State:	0.794

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

Here:	0.820
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.610
State:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.130
State:	0.078

Number Therapy Hours Per Resident Per Day

Here:	0.130
State:	0.087

GUARDIAN ANGELS HEALTH AND REHAB CENTER - HIBBING, MN

Complaint Deficiency

Quality Measures

Staff Information

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