ST MICHAELS HOSPITAL AND NH (SAUK CENTRE, MN) Detailed Nursing Home Profile

Process of Care

Heart Attack

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

Here:	10
State:	7

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

This Nursing Home:	94.0%
Minnesota:	96.6%

Heart Failure

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

Here:	50.0%
Minnesota:	97.5%

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

Here:	50.0%
Minnesota:	95.0%

Percent of Patients Given Discharge Instructions

This Nursing Home:	27.0%
Minnesota:	88.6%

Pneumonia

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

This Nursing Home:	89.0%
State:	97.1%

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

Here:	100.0%
Minnesota:	96.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	50.0%
State:	96.0%

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

Here:	73.0%
State:	92.8%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
State:	93.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	75.0%
State:	94.9%

Surgery

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

Here:	36.0%
Minnesota:	94.0%

Outcome of Care

30-Day Mortality Rates from Pneumonia

This Nursing Home:	10.9%
Minnesota:	11.4%

30-Day Readmission Rates from Pneumonia

Here:	18.8%
Minnesota:	18.3%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.370
Minnesota:	0.794

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

This Nursing Home:	1.270
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.640
Minnesota:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
Minnesota:	0.078

Number Therapy Hours Per Resident Per Day

Here:	0.010
State:	0.087

Complaint Deficiency

Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Check and assess each resident's assessment at least every 3 months
- 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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- 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
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
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: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- 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
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Use of Medical Imaging

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

Here:	4.300%
State:	6.118%

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

Here:	0.011%
Minnesota:	0.072%

Quality Measures

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

This Nursing Home:	13.6%
Minnesota:	15.5%

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

Here:	21.5%
Minnesota:	12.5%

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

This Nursing Home:	2.8%
Minnesota:	4.1%

Percent of long-stay residents who lose too much weight

Here:	6.3%
Minnesota:	7.6%

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

Here:	5.6%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	2.1%
State:	5.2%

Percent of long-stay residents who were physically restrained

This Nursing Home:	2.0%
State:	1.0%

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

This Nursing Home:	6.0%
State:	3.9%

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

Here:	100.0%
State:	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

This Nursing Home:	37.5%
Minnesota:	26.2%

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

This Nursing Home:	100.0%
State:	87.6%

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

Here:	100.0%
Minnesota:	86.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	18.0%
Minnesota:	17.4%

ST MICHAELS HOSPITAL AND NH - SAUK CENTRE, MN