RUSK CTY MEM HSPTL NH (LADYSMITH, WI) Detailed Nursing Home Profile

Process of Care

Heart Failure

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

Here:	89.0%
State:	98.3%

Percent of Patients Given Discharge Instructions

Here:	73.0%
Wisconsin:	91.1%

Pneumonia

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

Here:	54.0%
Wisconsin:	97.9%

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

This Nursing Home:	85.0%
Wisconsin:	97.6%

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

Here:	71.0%
State:	95.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	100.0%
State:	96.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	10.9%
State:	11.7%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.7%
Wisconsin:	11.9%

30-Day Readmission Rates from Heart Failure

Here:	21.4%
State:	23.7%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.0%
Wisconsin:	18.1%

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- 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: Actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A separate and independent backup electrical power source
- 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
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Fire-resistant interior walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
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
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
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
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- 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
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
Store, cook, and serve food in a safe and clean way
- 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: Many
An automatic smoke detection system in all hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Few
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Potential for minimal harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.010
State:	0.887

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

This Nursing Home:	0.310
Wisconsin:	0.546

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.320
Wisconsin:	1.429

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.020
Wisconsin:	0.074

Number Therapy Hours Per Resident Per Day

Here:	0.020
State:	0.079

Use of Medical Imaging

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

Here:	10.900%
State:	8.007%

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

Here:	0.163%
Wisconsin:	0.080%

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

Here:	0.038%
Wisconsin:	0.018%

Quality Measures

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

Here:	12.5%
Wisconsin:	15.6%

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

This Nursing Home:	20.9%
Wisconsin:	11.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.8%
Wisconsin:	7.2%

Percent of long-stay residents with a urinary tract infection

Here:	2.4%
State:	6.4%

Percent of long-stay residents who have depressive symptoms

Here:	7.0%
Wisconsin:	6.9%

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

Here:	97.7%
State:	97.6%

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

Here:	97.7%
Wisconsin:	98.4%

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

This Nursing Home:	90.5%
State:	92.1%

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

This Nursing Home:	95.2%
State:	92.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	9.8%
State:	18.8%

RUSK CTY MEM HSPTL NH - LADYSMITH, WI