ST LUKE COMMUNITY NURSING HOME (RONAN, MT) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.980
Montana:	0.883

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

This Nursing Home:	0.430
State:	0.533

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.410
Montana:	1.405

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
State:	0.101

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Montana:	0.118

Complaint Deficiency

Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal 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: Potential for minimal harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
A two-hour-resistant firewall in common walls
- 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: Some
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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
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
Make sure that special or therapeutic diets are ordered by the attending doctor
- 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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
The appropriate emergency electrical equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Quality Measures

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

This Nursing Home:	11.6%
Montana:	13.7%

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

Here:	12.5%
Montana:	15.0%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.2%
Montana:	8.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	2.1%
Montana:	6.5%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	10.6%
Montana:	8.3%

Percent of long-stay residents who were physically restrained

Here:	4.0%
Montana:	1.8%

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

Here:	2.0%
Montana:	4.6%

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

This Nursing Home:	100.0%
State:	95.9%

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

This Nursing Home:	100.0%
Montana:	91.2%

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

This Nursing Home:	100.0%
Montana:	88.3%

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

This Nursing Home:	100.0%
Montana:	81.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	16.7%
Montana:	19.6%

Process of Care

Heart Failure

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

This Nursing Home:	81.0%
State:	96.4%

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

Here:	100.0%
State:	96.3%

Percent of Patients Given Discharge Instructions

Here:	84.0%
Montana:	90.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
Montana:	100.0%

Pneumonia

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

Here:	100.0%
State:	98.0%

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

Here:	96.0%
State:	96.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.5%

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

Here:	84.0%
State:	92.5%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	93.0%
State:	96.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	98.0%
Montana:	95.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	12.0%
State:	12.4%

30-Day Mortality Rates from Pneumonia

Here:	11.1%
Montana:	12.1%

30-Day Readmission Rates from Heart Failure

Here:	26.2%
Montana:	22.5%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.6%
Montana:	17.4%

ST LUKE COMMUNITY NURSING HOME - RONAN, MT