AUGUSTANA MERCY CARE CENTER (MOOSE LAKE, 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:	4.400%
State:	6.118%

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

This Nursing Home:	0.033%
State:	0.072%

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

Here:	0.020%
State:	0.011%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.450
Minnesota:	0.794

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

This Nursing Home:	1.160
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.610
State:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.010
Minnesota:	0.078

Number Therapy Hours Per Resident Per Day

Here:	0.010
Minnesota:	0.087

Quality Measures

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

This Nursing Home:	17.9%
State:	15.5%

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

This Nursing Home:	14.0%
Minnesota:	12.5%

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

Here:	6.0%
State:	4.1%

Percent of long-stay residents who lose too much weight

Here:	6.6%
State:	7.6%

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

Here:	6.1%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.9%
Minnesota:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	6.8%
Minnesota:	7.4%

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

Here:	3.2%
State:	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:	96.8%
Minnesota:	96.8%

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

This Nursing Home:	35.3%
Minnesota:	26.2%

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

Here:	2.1%
Minnesota:	1.3%

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

Here:	92.7%
State:	87.6%

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

Here:	91.5%
State:	86.3%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.4%
Minnesota:	1.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	15.3%
State:	17.4%

Complaint Deficiency

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: Some
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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Potential for minimal harm
- Scope: Some
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
Make sure each resident receives an accurate assessment by a qualified health professional
- 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
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
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- 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
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: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- 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
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 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
Offer other nutritional food to each resident who will not eat the food served
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

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:	91.0%
Minnesota:	96.6%

Heart Failure

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

This Nursing Home:	90.0%
Minnesota:	97.5%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	44.0%
State:	95.0%

Percent of Patients Given Discharge Instructions

This Nursing Home:	71.0%
State:	88.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Minnesota:	98.8%

Pneumonia

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

This Nursing Home:	97.0%
Minnesota:	97.1%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	96.0%
State:	96.1%

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

Here:	100.0%
Minnesota:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	96.0%
Minnesota:	94.9%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Nursing Home:	98.0%
State:	97.4%

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

This Nursing Home:	87.0%
State:	97.6%

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

This Nursing Home:	100.0%
Minnesota:	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:	68.0%
State:	96.7%

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

Here:	68.0%
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%
State:	99.8%

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

This Nursing Home:	64.0%
State:	92.7%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Nursing Home:	93.0%
State:	95.2%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Nursing Home:	45.0%
Minnesota:	94.0%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

Here:	95.0%
State:	96.8%

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

Here:	91.0%
Minnesota:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	12.4%
State:	11.2%

30-Day Mortality Rates from Pneumonia

Here:	13.9%
Minnesota:	11.4%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	26.3%
Minnesota:	24.3%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	18.8%
State:	18.3%

AUGUSTANA MERCY CARE CENTER - MOOSE LAKE, MN