TWEETEN LUTHERAN HEALTH CARE CENTER - SPRING GROVE, MN

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Addresss:

125 5TH AVENUE SOUTHEAST
SPRING GROVE, MN, 55974

Phone (make sure to verify first before calling): (507) 498-3211

Number of Certified Beds: 50
Total Number of Residents: 43
Percent of Occupied Beds: 86%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Other
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
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: 3 Stars
RN Only Star Rating: 3 Stars

Other nearby hospitals and nursing homes

ABLE INC - HOUSTON (HOUSTON, 14.19 miles)
CALEDONIA HEALTH CARE CENTER (CALEDONIA, 8.72 miles)
HOUSTON COUNTY PHNS (CALEDONIA, 8.37 miles)
LUTHERAN HOME HEALTH AGENCY,THE (CALEDONIA, 8.72 miles)
CALEDONIA CARE AND REHABILITATION CENTER (CALEDONIA, 8.72 miles)
VALLEY VIEW NURSING HOME (HOUSTON, 14.49 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.29

Administrative Staff - Part Time: 1.01

Certified Nurse Aides - Full Time: 16.44

Certified Nurse Aides - Part Time: 2.79

Food Service Personnel - Full Time: 2.74

Food Service Personnel - Part Time: 2.70

Housekeeping Personnel - Full Time: 1.97

Licensed Practical/ Vocational Nurses - Full Time: 4.90

Licensed Practical/ Vocational Nurses - Part Time: 1.33

Medical Directors - Under Contract: 0.03

Persons Not Included In Any Other Categories - Full Time: 2.09

Physical Therapists - Under Contract: 0.46

Rn Director Of Nursing - Full Time: 1.14

Activities Professionals - Full Time: 1.14

Nurses With Administrative Duties - Part Time: 0.14

Occupational Therapists - Under Contract: 0.57

Pharmacists - Under Contract: 0.06

Podiatrists - Under Contract: 0.03

Speech Pathologists - Under Contract: 0.16

Other Physicians - Under Contract: 0.09

Physician Extenders - Under Contract: 0.57

Dietitians - Full Time: 1.14

Registered Nurses - Part Time: 1.47

Occupational Therapy Assistants - Under Contract: 0.17

Housekeeping Personnel - Part Time: 1.36

Social Workers - Under Contract: 0.06

Medication Aides/ Technicians - Part Time: 0.34

Medication Aides/ Technicians - Full Time: 3.39

Number Of Beds

Total: 50

Total Certified: 50

For Residents With Alzeheimers: 12

Provided Services

Activities Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping 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 Offsite 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:	0.540
State:	0.794

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

This Nursing Home:	0.740
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.280
State:	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:	13.9%
Minnesota:	15.5%

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

This Nursing Home:	8.5%
Minnesota:	12.5%

Percent of long-stay residents who lose too much weight

Here:	7.9%
State:	7.6%

Percent of long-stay residents with a urinary tract infection

Here:	7.9%
State:	5.2%

Percent of long-stay residents who were physically restrained

Here:	2.6%
Minnesota:	1.0%

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

Here:	100.0%
Minnesota:	97.0%

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

This Nursing Home:	100.0%
Minnesota:	96.8%

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

Here:	44.0%
Minnesota:	26.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	11.3%
State:	1.3%

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

Here:	100.0%
Minnesota:	87.6%

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

Here:	100.0%
State:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	7.9%
Minnesota:	17.4%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Determine if it is safe for the resident to self-administer drugs
- 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
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
Conduct initial and periodic assessments of each resident's functional capacity
- 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
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
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
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
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
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Try to resolve each resident's complaints quickly
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Determine if it is safe for the resident to self-administer drugs
- 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
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
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Provide food in a way that meets a resident's needs
- 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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

TWEETEN LUTHERAN HEALTH CARE CENTER - SPRING GROVE, MN

Staff Information

Quality Measures

Complaint Deficiency

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