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CREST VIEW LUTHERAN HOME - COLUMBIA HEIGHTS, MN

 



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Address
4444 RESERVOIR BOULEVARD NORTHEAST
COLUMBIA HEIGHTS, MN, 55421
Phone (make sure to verify first before calling): (763) 782-1611

Number of Certified Beds: 122
Total Number of Residents: 114
Percent of Occupied Beds: 93%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
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: 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: 4.86
Administrative Staff - Part Time: 2.26
Certified Nurse Aides - Full Time: 22.31
Certified Nurse Aides - Part Time: 24.49
Dietitians - Under Contract: 0.09
Housekeeping Personnel - Full Time: 5.66
Licensed Practical/ Vocational Nurses - Full Time: 6.81
Licensed Practical/ Vocational Nurses - Part Time: 10.41
Medical Directors - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 1.17
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.20
Activities Professionals - Full Time: 1.09
Pharmacists - Under Contract: 0.03
Persons Not Included In Any Other Categories - Part Time: 1.63
Registered Nurses - Part Time: 7.27
Housekeeping Personnel - Part Time: 1.69
Medication Aides/ Technicians - Part Time: 3.86
Medication Aides/ Technicians - Full Time: 1.14

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Staff Information

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

0.790
Minnesota:

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

0.690
Minnesota:

0.750
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.480
Minnesota:

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

0.040
State:

0.078
Number Therapy Hours Per Resident Per Day
Here:

0.040
State:

0.087

Quality Measures

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

29.4%
Minnesota:

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

17.0%
State:

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

5.0%
Minnesota:

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

9.4%
Minnesota:

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

54.5%
Minnesota:

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

4.4%
State:

4.1%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

1.0%
State:

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

3.7%
Minnesota:

7.4%
Percent of long-stay residents who were physically restrained
Here:

3.0%
Minnesota:

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

3.0%
Minnesota:

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

96.0%
Minnesota:

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

100.0%
State:

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

37.0%
State:

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

4.4%
Minnesota:

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

88.7%
Minnesota:

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

80.2%
State:

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

26.4%
Minnesota:

17.4%

Complaint Deficiency

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Minimal harm or potential for actual harm)

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

An approved installation, maintenance and testing program for fire alarm systems: Few (Actual harm)

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

Review or revise the resident's care plan after any major change in a resident's physical or mental health: 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)

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

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm)

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

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: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Many (Potential for minimal harm)

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

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Potential for minimal harm)

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

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

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

Protect each resident from all abuse, physical punishment, and being separated from others: Few (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: Some (Minimal harm or potential for actual harm)

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

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (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)

Listen to the resident or family groups or act on their complaints or suggestions: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: 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)

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

Make sure each resident receives an accurate assessment by a qualified health professional: Some (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)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Encode and automate the resident's assessment data: Some (Potential for minimal harm)

Provide necessary care and services to maintain the highest well being of each resident : 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 each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: 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 (Actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Potential for minimal harm)

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