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)

Other nearby hospitals and nursing homes

ACCESS HEALTH CARE (GRAND RAPIDS, 16.27 miles)
FMC DIALYSIS - GRAND RAPIDS (GRAND RAPIDS, 14.70 miles)
GRAND ITASCA CLINIC AND HOSPITAL (GRAND RAPIDS, 14.12 miles)
EVERGREEN TERRACE (GRAND RAPIDS, 15.61 miles)
BIGFORK VALLEY COMMUNITIES (BIGFORK, 28.85 miles)
BIGFORK VALLEY HOME CARE (BIGFORK, 28.85 miles)

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