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BAYSHORE HEALTH CENTER - DULUTH, MN

 



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Address
1601 ST LOUIS AVENUE
DULUTH, MN, 55802
Phone (make sure to verify first before calling): (218) 727-8651

Number of Certified Beds: 160
Total Number of Residents: 145
Percent of Occupied Beds: 91%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Other
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?: Yes
Type: Skilled Nursing Facilities


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 11.09
Administrative Staff - Part Time: 1.06
Certified Nurse Aides - Full Time: 36.26
Certified Nurse Aides - Part Time: 45.57
Dietitians - Under Contract: 1.14
Housekeeping Personnel - Full Time: 14.00
Licensed Practical/ Vocational Nurses - Full Time: 12.43
Licensed Practical/ Vocational Nurses - Part Time: 9.27
Nurses With Administrative Duties - Full Time: 5.71
Persons Not Included In Any Other Categories - Full Time: 4.43
Physical Therapists - Under Contract: 1.17
Registered Nurses - Full Time: 3.96
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 4.57
Activities Professionals - Full Time: 1.14
Nurses With Administrative Duties - Part Time: 0.57
Occupational Therapists - Under Contract: 0.59
Food Service Personnel - Under Contract: 15.39
Speech Pathologists - Under Contract: 0.27
Persons Not Included In Any Other Categories - Part Time: 1.71
Registered Nurses - Part Time: 1.61
Occupational Therapy Assistants - Under Contract: 1.24
Social Workers - Part Time: 1.23
Housekeeping Personnel - Part Time: 2.49
Medication Aides/ Technicians - Part Time: 6.70
Medication Aides/ Technicians - Full Time: 5.31

Provided Services

  • Activities 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
  • 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 Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite 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

Quality Measures

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

9.8%
Minnesota:

15.5%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

12.9%
State:

12.5%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

6.3%
State:

4.1%
Percent of long-stay residents who lose too much weight
Here:

8.1%
Minnesota:

7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

49.3%
Minnesota:

47.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

3.1%
Minnesota:

4.1%
Percent of long-stay residents with a urinary tract infection
Here:

5.6%
Minnesota:

5.2%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

9.2%
Minnesota:

7.4%
Percent of long-stay residents who were physically restrained
This Nursing Home:

3.9%
Minnesota:

1.0%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

4.7%
Minnesota:

3.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

96.0%
State:

97.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

90.6%
State:

96.8%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

52.7%
Minnesota:

26.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

2.5%
State:

1.3%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

74.7%
State:

87.6%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

80.2%
Minnesota:

86.3%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

21.8%
State:

17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.720
State:

0.794
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.520
Minnesota:

0.750
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.230
State:

1.543
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.020
Minnesota:

0.078
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.020
Minnesota:

0.087

Complaint Deficiency

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Some (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Immediate jeopardy to resident health or safety)

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: Some (Actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Check and assess each resident's assessment at least every 3 months: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Some (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Many (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care: Few (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Offer other nutritional food to each resident who will not eat the food served: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Provide or obtain dental services for each resident: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm)

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