LUTHER MEMORIAL HOME - MADELIA, MN

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Addresss:

221 6TH STREET SOUTHWEST
MADELIA, MN, 56062

Phone (make sure to verify first before calling): (507) 642-3271

Number of Certified Beds: 71
Total Number of Residents: 57
Percent of Occupied Beds: 80%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
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: 3 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Other nearby hospitals and nursing homes

BROWN COUNTY PUBLIC HEALTH (NEW ULM, 18.45 miles)
HILLCREST HEALTH CARE CENTER (MANKATO, 20.03 miles)
IMMANUEL ST JOSEPHS - NEW ULM (NEW ULM, 18.71 miles)
TRUMAN SENIOR LIVING (TRUMAN, 14.81 miles)
MADELIA COMMUNITY HOSPITAL (0.64 miles)
MBW ON CENTER (NEW ULM, 18.57 miles)
REM HEARTLAND INC MADELIA (0.60 miles)

Employment Full-Time Equivalent

Administrative Staff - Part Time: 0.89

Certified Nurse Aides - Full Time: 11.47

Certified Nurse Aides - Part Time: 19.00

Dietitians - Under Contract: 0.10

Food Service Personnel - Full Time: 4.26

Food Service Personnel - Part Time: 6.81

Housekeeping Personnel - Full Time: 2.20

Licensed Practical/ Vocational Nurses - Full Time: 3.46

Licensed Practical/ Vocational Nurses - Part Time: 4.69

Nurses With Administrative Duties - Full Time: 2.29

Persons Not Included In Any Other Categories - Full Time: 3.13

Physical Therapists - Under Contract: 0.10

Social Workers - Full Time: 1.00

Activities Professionals - Part Time: 0.90

Occupational Therapists - Under Contract: 0.06

Speech Pathologists - Under Contract: 0.06

Other Physicians - Under Contract: 0.11

Physician Extenders - Under Contract: 0.04

Persons Not Included In Any Other Categories - Part Time: 2.71

Registered Nurses - Part Time: 1.26

Occupational Therapy Assistants - Under Contract: 0.23

Housekeeping Personnel - Part Time: 5.67

Medication Aides/ Technicians - Part Time: 1.11

Rn Director Of Nursing - Part Time: 0.83

Number Of Beds

Total: 71

Total Certified: 71

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping 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

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

Therapeutic Recreation Specialist Services Are Provided Onsite To Nonresidents

Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Quality Measures

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

Here:	21.6%
Minnesota:	15.5%

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

Here:	10.8%
State:	12.5%

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

Here:	2.7%
State:	4.1%

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

This Nursing Home:	4.5%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.0%
Minnesota:	5.2%

Percent of long-stay residents who were physically restrained

Here:	5.3%
Minnesota:	1.0%

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

Here:	3.5%
Minnesota:	3.9%

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

Here:	98.2%
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 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

This Nursing Home:	96.2%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	14.3%
State:	17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.350
Minnesota:	0.794

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

Here:	0.690
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.040
Minnesota:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.078

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Minnesota:	0.087

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
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: Some
Employ or obtain outside professional resources providing services in the nursing home that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Keep each resident free from physical restraints, unless needed for medical treatment
- 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
Check and assess each resident's assessment at least every 3 months
- 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 necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
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
Make sure that doctors visit residents regularly, as required
- 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
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Potential for minimal harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Check and assess each resident's assessment at least every 3 months
- 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 necessary care and services to maintain the highest well being of each resident
- 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: Some
Give each resident enough fluids to keep them healthy and prevent dehydration
- 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
Make sure that a working call system is available in each resident's room or bathroom and bathing area
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- 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
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many

LUTHER MEMORIAL HOME - MADELIA, MN

Quality Measures

Staff Information

Complaint Deficiency

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