MAYO CLINIC HEALTH SYSTEM - FAIRMONT - FAIRMONT, MN

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Address

800 MEDICAL CENTER DRIVE, PO BOX 800
FAIRMONT, MN, 56031

Phone (make sure to verify first before calling): (507) 238-8651

Number of Certified Beds: 40
Total Number of Residents: 37
Percent of Occupied Beds: 93%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: Yes
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: 3 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Administrative Staff - Part Time: 0.29
Certified Nurse Aides - Full Time: 5.63
Certified Nurse Aides - Part Time: 10.43
Food Service Personnel - Part Time: 2.40
Housekeeping Personnel - Full Time: 2.29
Licensed Practical/ Vocational Nurses - Full Time: 2.17
Licensed Practical/ Vocational Nurses - Part Time: 2.49
Medical Directors - Under Contract: 0.01
Nurses With Administrative Duties - Full Time: 1.14
Registered Nurses - Full Time: 2.29
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Part Time: 0.57
Dietitians - Part Time: 0.29
Occupational Therapists - Part Time: 0.07
Physical Therapists - Part Time: 0.14
Other Physicians - Under Contract: 0.01
Registered Nurses - Part Time: 1.33
Housekeeping Personnel - Part Time: 0.69
Speech Pathologists - Part Time: 0.01
Pharmacists - Part Time: 0.11
Medication Aides/ Technicians - Part Time: 0.23

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Dental Services Are Provided Offsite 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 Offsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Offsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Offsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Offsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite 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 Offsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.090
State:	0.794

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.720
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.810
Minnesota:	1.543

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
Minnesota:	0.078

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
Minnesota:	0.087

Quality Measures

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

Here:	25.0%
State:	15.5%

Percent of long-stay residents who lose too much weight

Here:	14.7%
Minnesota:	7.6%

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

Here:	8.8%
State:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	8.8%
State:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	6.1%
Minnesota:	7.4%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	14.7%
State:	3.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
Minnesota:	97.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
State:	96.8%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	14.3%
State:	26.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	95.2%
Minnesota:	86.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	5.7%
Minnesota:	17.4%

Complaint Deficiency

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

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

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

Weekly inspections and monthly testing of generators: Many (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)

Keep each resident free from physical restraints, unless needed for medical treatment: 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)

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 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 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)

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)

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 necessary care and services to maintain the highest well being of each resident : 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)

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: Some (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)

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)

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

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)

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