CUYUNA REGIONAL MEDICAL CENTER - CROSBY, MN
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Address 320 EAST MAIN STREETPhone (make sure to verify first before calling): (218) 546-7000 Number of Certified Beds: 120 Total Number of Residents: 108 Percent of Occupied Beds: 90% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: Government - Hospital district Located Within a Hospital?: Yes 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: 4 Stars Nurse Staffing Star Rating: 4 Stars Quality Measures Star Rating: 3 Stars RN Only Star Rating: 3 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 6.43Certified Nurse Aides - Full Time: 28.63 Certified Nurse Aides - Part Time: 43.54 Food Service Personnel - Full Time: 13.10 Food Service Personnel - Part Time: 10.70 Housekeeping Personnel - Full Time: 10.70 Licensed Practical/ Vocational Nurses - Full Time: 7.21 Licensed Practical/ Vocational Nurses - Part Time: 12.99 Nurses With Administrative Duties - Full Time: 2.64 Persons Not Included In Any Other Categories - Full Time: 2.66 Registered Nurses - Full Time: 4.80 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 2.23 Activities Professionals - Full Time: 1.03 Dietitians - Part Time: 0.91 Pharmacists - Under Contract: 0.21 Speech Pathologists - Under Contract: 0.01 Dietitians - Full Time: 0.69 Persons Not Included In Any Other Categories - Part Time: 6.04 Registered Nurses - Part Time: 7.93 Housekeeping Personnel - Part Time: 2.10 Occupational Therapists - Full Time: 0.14 Physical Therapists - Full Time: 0.40 Occupational Therapy Assistants - Full Time: 0.34 Nurse Aides In Training - Part Time: 0.57 Medication Aides/ Technicians - Part Time: 2.01 Medication Aides/ Technicians - Full Time: 1.30 Provided Services
Process of CareHeart AttackAverage number of minutes before outpatients with chest pain or possible heart attack got an ECG
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Heart FailurePercent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Percent of Patients Given Discharge Instructions
PneumoniaPercent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Percent of Patients Given Smoking Cessation Advice/Counseling
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Percent of Patients Assessed and Given Influenza Vaccination
Percent of Patients Assessed and Given Pneumococcal Vaccination
SurgeryPercent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Outcome of Care30-Day Mortality Rates from Heart Failure
30-Day Mortality Rates from Pneumonia
30-Day Readmission Rates from Heart Failure
30-Day Readmission Rates from Pneumonia
Hospital Consumer Assessment of Healthcare ProvidersNumber of Completed Surveys: 300 or moreSurvey Response Rate: 52% How often did nurses communicate well with patients? Sometimes or never
Usually
Always
How often did doctors communicate well with patients? Sometimes or never
Usually
Always
How often did patients receive help quickly from hospital staff? Sometimes or never
Usually
Always
How often was patients' pain well controlled? Sometimes or never
Usually
Always
How often did staff explain about medicines before giving them to patients? Sometimes or never
Usually
Always
How often were the patients' rooms and bathrooms kept clean? Sometimes or never
Usually
Always
How often was the area around patients' rooms kept quiet at night? Sometimes or never
Usually
Always
Were patients given information about what to do during their recovery at home? Yes
No
How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)? 6 or lower
7 or 8
9 or 10
Would patients recommend the hospital to friends and family? No
Yes, probably
Yes, definitely
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Use of Medical ImagingOutpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Outpatient CT scans of the abdomen that were combination (double) scans.
Outpatient CT scans of the chest that were combination (double) scans.
Complaint DeficiencyAn approved installation, maintenance and testing program for fire alarm systems: Many (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: Some (Minimal harm or potential for actual harm) Exits that are free from obstructions and can be used at all times: Many (Potential for minimal harm) Determine if it is safe for the resident to self-administer drugs: 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 residents receive treatment/services to not only continue, but improve the ability to care for themselves: 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: Some (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm) Make sure that paid feeding assistants 1) completed training; 2) works under the supervision of a RN or LPN; and 3) feeds only residents who have no complicated feeding problems: 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: Few (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) A two-hour-resistant firewall in common walls: Many (Minimal harm or potential for actual harm) Proper stairway enclosures and vertical shafts: Some (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) Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm) Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: 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) Exits that are accessible at all times: Many (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 automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm) Properly protected cooking facilities: Many (Potential for minimal harm) Exits that are free from obstructions and can be used at all times: Many (Potential for minimal 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) 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) Make sure that paid feeding assistants 1) completed training; 2) works under the supervision of a RN or LPN; and 3) feeds only residents who have no complicated feeding problems: Few (Minimal harm or potential for actual 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) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Potential for minimal harm) Other nearby hospitals and nursing homes
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