CENTRACARE HEALTH SYSTEM - MELROSE PINE VILLA C C (MELROSE, MN) Detailed Nursing Home Profile

Use of Medical Imaging

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

This Nursing Home:	11.900%
State:	6.118%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Nursing Home:	0.027%
State:	0.072%

Outpatient CT scans of the chest that were combination (double) scans.

This Nursing Home:	0.018%
State:	0.011%

Process of Care

Heart Attack

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

This Nursing Home:	7
State:	7

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

Here:	73.0%
State:	96.6%

Heart Failure

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

Here:	79.0%
State:	97.5%

Percent of Patients Given Discharge Instructions

Here:	36.0%
Minnesota:	88.6%

Pneumonia

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

Here:	93.0%
Minnesota:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	94.0%
State:	94.9%

Outcome of Care

30-Day Mortality Rates from Pneumonia

Here:	10.8%
Minnesota:	11.4%

30-Day Readmission Rates from Pneumonia

Here:	17.5%
State:	18.3%

Quality Measures

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

This Nursing Home:	20.6%
State:	15.5%

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

Here:	15.9%
Minnesota:	12.5%

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

This Nursing Home:	1.9%
State:	4.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.6%
State:	7.6%

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

Here:	46.9%
State:	47.8%

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

This Nursing Home:	1.9%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.2%
Minnesota:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.5%
Minnesota:	7.4%

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

Here:	7.0%
Minnesota:	3.9%

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

Here:	100.0%
Minnesota:	97.0%

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

This Nursing Home:	100.0%
State:	96.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	10.3%
Minnesota:	17.4%

Complaint Deficiency

Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Emergency lighting that can last at least 1 1/2 hours
- 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
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
Check and assess each resident's assessment at least every 3 months
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- 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: 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
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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 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
Conduct initial and periodic assessments of each resident's functional capacity
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- 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
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: Some
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: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.420
Minnesota:	0.794

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

Here:	0.770
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.190
State:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.200
State:	0.078

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.200
State:	0.087

CENTRACARE HEALTH SYSTEM - MELROSE PINE VILLA C C - MELROSE, MN