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HOMESTEAD REHABILITATION AND LIVING CENTER - DEER RIVER, MN

 



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Address
115 10TH AVENUE NORTHEAST
DEER RIVER, MN, 56636
Phone (make sure to verify first before calling): (218) 246-2900

Number of Certified Beds: 32
Total Number of Residents: 26
Percent of Occupied Beds: 81%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
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: 3 Stars

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Onsite To Nonresidents
  • Administration And Storage Of Blood Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Non Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Non 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 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 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
  • Vocational Services Are Provided Offsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 13.76
Administrative Staff - Part Time: 2.40
Certified Nurse Aides - Full Time: 12.44
Certified Nurse Aides - Part Time: 5.66
Food Service Personnel - Full Time: 5.73
Food Service Personnel - Part Time: 4.04
Housekeeping Personnel - Full Time: 10.41
Licensed Practical/ Vocational Nurses - Full Time: 5.31
Licensed Practical/ Vocational Nurses - Part Time: 1.59
Registered Nurses - Full Time: 2.13
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 0.69
Activities Professionals - Full Time: 0.96
Dietitians - Full Time: 1.03
Sppech Pathologists - Full Time: 1.03
Registered Nurses - Part Time: 0.34
Social Workers - Part Time: 0.46
Housekeeping Personnel - Part Time: 5.59
Pharmacists - Full Time: 0.40
Occupational Therapists - Full Time: 1.96
Physical Therapists - Full Time: 2.97
Occupational Therapy Assistants - Full Time: 0.91

Use of Medical Imaging

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

12.800%
State:

6.118%
Outpatient CT scans of the abdomen that were combination (double) scans.
This Nursing Home:

0.105%
State:

0.072%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
Here:

3.800%
State:

5.841%

Staff Information

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

0.500
State:

0.794
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.040
Minnesota:

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

1.540
State:

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

0.010
State:

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

0.010
State:

0.087

Quality Measures

Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

5.1%
State:

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

95.0%
State:

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

95.7%
Minnesota:

86.3%

Process of Care

Heart Attack

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

12
Minnesota:

7
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
This Nursing Home:

91.0%
State:

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 Discharge Instructions
Here:

12.0%
Minnesota:

88.6%

Pneumonia

Percent of Patients Assessed and Given Pneumococcal Vaccination
Here:

88.0%
Minnesota:

94.9%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection
Here:

81.0%
State:

97.4%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Here:

100.0%
State:

97.6%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Here:

100.0%
Minnesota:

97.9%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
Here:

97.0%
State:

96.7%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Here:

97.0%
Minnesota:

97.4%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Here:

98.0%
Minnesota:

99.8%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

83.0%
State:

95.2%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Here:

100.0%
State:

99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure
This Nursing Home:

12.7%
State:

11.2%
30-Day Mortality Rates from Pneumonia
This Nursing Home:

10.9%
Minnesota:

11.4%
30-Day Readmission Rates from Heart Failure
Here:

24.0%
Minnesota:

24.3%
30-Day Readmission Rates from Pneumonia
Here:

17.9%
Minnesota:

18.3%

Complaint Deficiency

Listen to the resident or family groups or act on their complaints or suggestions: Some (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)

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)

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)

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)

Store, cook, and serve food in a safe and clean way: Many (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 a working call system is available in each resident's room or bathroom and bathing area: Few (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (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 (Potential for minimal harm)

Determine if it is safe for the resident to self-administer drugs: 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)

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

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (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)

Allow residents to easily view the results of the nursing home's most recent survey: Some (Potential for minimal 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)

Provide medically-related social services to help each resident achieve the highest possible quality of life: 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)

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)

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)

Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion unless it was unavoidable: 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: Some (Immediate jeopardy to resident health or safety)

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 (Potential for minimal harm)

Have a program that investigates, controls and keeps infection from spreading: Some (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: Many (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)

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