NEW RIVER MEDICAL CENTER (MONTICELLO, MN) Detailed Nursing Home Profile

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: Some
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Potential for minimal harm
- Scope: Many
Try to resolve each resident's complaints quickly
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
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
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: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- 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 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
Try to resolve each resident's complaints quickly
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protect each resident from all abuse, physical punishment, and being separated from others
- Harm: Actual harm
- Scope: Some
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: Actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Actual harm
- Scope: Many
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 each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Use of Medical Imaging

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

This Nursing Home:	8.900%
State:	6.118%

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

Here:	0.020%
Minnesota:	0.072%

Process of Care

Heart Attack

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

This Nursing Home:	8
Minnesota:	7

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	39
State:	52

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

Here:	98.0%
Minnesota:	96.6%

Heart Failure

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

This Nursing Home:	97.0%
State:	97.5%

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

This Nursing Home:	91.0%
State:	95.0%

Percent of Patients Given Discharge Instructions

This Nursing Home:	96.0%
Minnesota:	88.6%

Pneumonia

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

Here:	98.0%
State:	97.1%

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

This Nursing Home:	91.0%
State:	96.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	80.0%
Minnesota:	96.0%

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

This Nursing Home:	98.0%
State:	92.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	89.0%
Minnesota:	93.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	89.0%
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:	95.0%
State:	97.4%

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

This Nursing Home:	96.0%
State:	97.6%

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

This Nursing Home:	97.0%
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

Here:	100.0%
State:	96.7%

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

This Nursing Home:	100.0%
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:	89.0%
Minnesota:	92.7%

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

Here:	100.0%
Minnesota:	95.2%

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

Here:	92.0%
State:	94.0%

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

Here:	96.0%
Minnesota:	96.8%

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

Here:	100.0%
State:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	11.0%
Minnesota:	11.2%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.4%
State:	11.4%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	25.0%
State:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	19.1%
State:	18.3%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.650
Minnesota:	0.794

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

Here:	0.760
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.410
State:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.080
State:	0.078

Number Therapy Hours Per Resident Per Day

Here:	0.080
Minnesota:	0.087

Quality Measures

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

Here:	12.1%
State:	15.5%

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

This Nursing Home:	22.0%
Minnesota:	12.5%

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

Here:	1.7%
State:	4.1%

Percent of long-stay residents who lose too much weight

This Nursing Home:	6.8%
Minnesota:	7.6%

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

Here:	28.2%
State:	47.8%

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

This Nursing Home:	2.1%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	12.2%
State:	5.2%

Percent of long-stay residents who have depressive symptoms

Here:	1.4%
State:	7.4%

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

This Nursing Home:	5.3%
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

This Nursing Home:	32.3%
State:	26.2%

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

This Nursing Home:	94.3%
State:	87.6%

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

Here:	96.1%
Minnesota:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	9.6%
Minnesota:	17.4%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 32%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
Minnesota:	3%

Usually

This Nursing Home:	15%
State:	18%

Always

Here:	81%
State:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	4%
State:	3%

Usually

This Nursing Home:	15%
State:	14%

Always

Here:	81%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	6%
State:	6%

Usually

This Nursing Home:	22%
State:	22%

Always

Here:	72%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
Minnesota:	5%

Usually

This Nursing Home:	23%
State:	25%

Always

Here:	72%
State:	70%

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

Sometimes or never

Here:	15%
State:	16%

Usually

This Nursing Home:	18%
Minnesota:	20%

Always

This Nursing Home:	67%
State:	64%

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

Sometimes or never

This Nursing Home:	4%
Minnesota:	6%

Usually

This Nursing Home:	15%
Minnesota:	18%

Always

Here:	81%
State:	76%

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

Sometimes or never

This Nursing Home:	6%
Minnesota:	7%

Usually

Here:	21%
Minnesota:	30%

Always

Here:	73%
State:	63%

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

Yes

Here:	91%
Minnesota:	86%

This Nursing Home:	9%
State:	14%

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

6 or lower

This Nursing Home:	7%
Minnesota:	6%

7 or 8

This Nursing Home:	22%
Minnesota:	22%

9 or 10

Here:	71%
State:	72%

Would patients recommend the hospital to friends and family?

This Nursing Home:	5%
Minnesota:	3%

Yes, probably

Here:	27%
State:	24%

Yes, definitely

Here:	68%
State:	73%

NEW RIVER MEDICAL CENTER - MONTICELLO, MN

Complaint Deficiency

Use of Medical Imaging

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Staff Information

Quality Measures

Hospital Consumer Assessment of Healthcare Providers

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