LUTHER HAVEN - MONTEVIDEO, MN

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Address

1109 EAST HIGHWAY 7
MONTEVIDEO, MN, 56265

Phone (make sure to verify first before calling): (320) 269-6517

Number of Certified Beds: 89
Total Number of Residents: 86
Percent of Occupied Beds: 97%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
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: 5 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.60
Administrative Staff - Part Time: 3.70
Certified Nurse Aides - Full Time: 14.63
Certified Nurse Aides - Part Time: 28.29
Dietitians - Under Contract: 0.10
Food Service Personnel - Full Time: 3.47
Food Service Personnel - Part Time: 12.61
Housekeeping Personnel - Full Time: 6.80
Licensed Practical/ Vocational Nurses - Full Time: 3.01
Licensed Practical/ Vocational Nurses - Part Time: 9.47
Medical Directors - Under Contract: 0.01
Nurses With Administrative Duties - Full Time: 2.33
Persons Not Included In Any Other Categories - Full Time: 2.31
Physical Therapists - Under Contract: 0.07
Registered Nurses - Full Time: 2.27
Rn Director Of Nursing - Full Time: 1.27
Activities Professionals - Full Time: 1.14
Nurses With Administrative Duties - Part Time: 1.74
Occupational Therapists - Under Contract: 0.50
Pharmacists - Under Contract: 0.04
Persons Not Included In Any Other Categories - Under Contract: 0.57
Speech Pathologists - Under Contract: 0.11
Persons Not Included In Any Other Categories - Part Time: 2.36
Registered Nurses - Part Time: 2.77
Housekeeping Personnel - Part Time: 2.36
Nurse Aides In Training - Part Time: 7.01
Medication Aides/ Technicians - Part Time: 1.49

Provided Services

Activities Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping 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 Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.880
State:	0.794

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

Here:	0.510
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.390
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
State:	0.087

Quality Measures

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

This Nursing Home:	20.5%
State:	15.5%

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

Here:	15.5%
Minnesota:	12.5%

Percent of long-stay high-risk residents with pressure ulcers

Here:	3.8%
Minnesota:	4.1%

Percent of long-stay residents who lose too much weight

Here:	2.5%
Minnesota:	7.6%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	30.0%
Minnesota:	47.8%

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

Here:	8.4%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	8.9%
State:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	8.1%
Minnesota:	7.4%

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

Here:	1.2%
State:	3.9%

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

Here:	100.0%
Minnesota:	97.0%

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

This Nursing Home:	92.6%
State:	96.8%

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

This Nursing Home:	33.3%
State:	26.2%

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

This Nursing Home:	88.9%
State:	87.6%

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

Here:	92.3%
Minnesota:	86.3%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	7.1%
State:	1.8%

Percent of long-stay residents who received an antipsychotic medication

Here:	6.2%
State:	17.4%

Complaint Deficiency

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

Properly maintained smoke detectors: Many (Minimal harm or potential for 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: Some (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: 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: Some (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)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: 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)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Make sure that doctors visit residents regularly, as required: 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)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (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)

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)

Make sure that doctors visit residents regularly, as required: 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: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Many (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Some (Potential for minimal harm)

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

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