GOOD SAMARITAN SOCIETY - WINDOM - WINDOM, MN

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Addresss:

705 SIXTH STREET
WINDOM, MN, 56101

Phone (make sure to verify first before calling): (507) 831-1788

Number of Certified Beds: 78
Total Number of Residents: 76
Percent of Occupied Beds: 97%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.74

Administrative Staff - Part Time: 2.86

Certified Nurse Aides - Full Time: 14.13

Certified Nurse Aides - Part Time: 19.81

Dietitians - Under Contract: 0.10

Food Service Personnel - Full Time: 4.86

Food Service Personnel - Part Time: 6.71

Housekeeping Personnel - Full Time: 7.16

Licensed Practical/ Vocational Nurses - Full Time: 3.60

Licensed Practical/ Vocational Nurses - Part Time: 3.07

Medical Directors - Under Contract: 0.03

Nurses With Administrative Duties - Full Time: 2.29

Persons Not Included In Any Other Categories - Full Time: 2.19

Physical Therapists - Under Contract: 0.09

Registered Nurses - Full Time: 3.40

Rn Director Of Nursing - Full Time: 0.94

Social Workers - Full Time: 2.03

Activities Professionals - Full Time: 1.14

Nurses With Administrative Duties - Part Time: 0.59

Occupational Therapists - Under Contract: 0.06

Other Physicians - Under Contract: 0.04

Persons Not Included In Any Other Categories - Part Time: 3.51

Registered Nurses - Part Time: 2.81

Housekeeping Personnel - Part Time: 5.54

Physical Therapy Aide - Full Time: 1.07

Nurse Aides In Training - Part Time: 0.07

Occupational Therapy Aides - Under Contract: 0.03

Physical Therapy Aide - Part Time: 0.91

Medication Aides/ Technicians - Part Time: 0.09

Medication Aides/ Technicians - Full Time: 2.09

Number Of Beds

Total: 82

Total Certified: 82

For Residents With Alzeheimers: 18

Provided Services

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Administration And Storage Of Blood Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite 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

Mental Health Services Are Provided Offsite To Residents

Mental Health 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 Onsite To Residents

Podiatry Services Are Provided Offsite 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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.910
State:	0.794

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

Here:	0.150
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.060
Minnesota:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.050
Minnesota:	0.078

Number Therapy Hours Per Resident Per Day

Here:	0.050
Minnesota:	0.087

Quality Measures

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

Here:	15.6%
Minnesota:	15.5%

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

Here:	14.2%
State:	12.5%

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

Here:	38.7%
State:	47.8%

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

Here:	4.0%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.3%
State:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	17.1%
Minnesota:	7.4%

Percent of long-stay residents who were physically restrained

Here:	2.9%
State:	1.0%

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

This Nursing Home:	5.7%
State:	3.9%

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

This Nursing Home:	100.0%
Minnesota:	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 who self-report moderate to severe pain

Here:	19.0%
State:	26.2%

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

This Nursing Home:	88.9%
State:	87.6%

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

Here:	76.7%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	15.5%
Minnesota:	17.4%

Complaint Deficiency

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- 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
Provide housekeeping and maintenance services
- Harm: Potential for minimal 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
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Check and assess each resident's assessment at least every 3 months
- 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
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
Store, cook, and serve food in a safe and clean way
- Harm: Potential for minimal harm
- Scope: Many
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
Exits that are free from obstructions and can be used at all times
- 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 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) 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
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide or obtain dental services for each resident
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Some

GOOD SAMARITAN SOCIETY - WINDOM - WINDOM, MN

Staff Information

Quality Measures

Complaint Deficiency

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