MADISON LUTHERAN HOME - MADISON, MN

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Addresss:
900 SECOND AVENUE
MADISON, MN, 56256
Phone (make sure to verify first before calling): (320) 598-7536

Number of Certified Beds: 80
Total Number of Residents: 65
Percent of Occupied Beds: 81%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
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: 3 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent
Administrative Staff - Full Time: 2.29
Administrative Staff - Part Time: 1.56
Certified Nurse Aides - Full Time: 7.99
Certified Nurse Aides - Part Time: 29.57
Food Service Personnel - Full Time: 3.20
Food Service Personnel - Part Time: 12.77
Licensed Practical/ Vocational Nurses - Full Time: 3.49
Licensed Practical/ Vocational Nurses - Part Time: 3.81
Nurses With Administrative Duties - Full Time: 1.14
Persons Not Included In Any Other Categories - Full Time: 3.20
Registered Nurses - Full Time: 1.03
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Part Time: 0.91
Nurses With Administrative Duties - Part Time: 2.81
Dietitians - Full Time: 1.14
Persons Not Included In Any Other Categories - Part Time: 8.46
Registered Nurses - Part Time: 1.21
Social Workers - Part Time: 1.39
Housekeeping Personnel - Part Time: 4.46
Medication Aides/ Technicians - Part Time: 7.86
Medication Aides/ Technicians - Full Time: 2.37

Number Of Beds
Total: 97
Total Certified: 97

Provided Services
Activities Services Are Provided Onsite To Residents
Administration And Storage Of Blood Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To 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 Offsite 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
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

6.3%
State:

15.5%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

3.2%
Minnesota:

12.5%
Percent of long-stay residents who lose too much weight
This Nursing Home:

6.3%
State:

7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

61.1%
Minnesota:

47.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

4.3%
State:

4.1%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

17.2%
Minnesota:

5.2%
Percent of long-stay residents who have depressive symptoms
Here:

9.7%
Minnesota:

7.4%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

9.1%
Minnesota:

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 long-stay residents who received an antipsychotic medication
Here:

17.2%
State:

17.4%

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
Here:

23.0%
State:

97.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
This Nursing Home:

86.0%
Minnesota:

97.1%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Here:

27.0%
State:

92.8%
Percent of Patients Assessed and Given Pneumococcal Vaccination
Here:

66.0%
State:

94.9%

Outcome of Care

30-Day Mortality Rates from Pneumonia
This Nursing Home:

10.2%
Minnesota:

11.4%
30-Day Readmission Rates from Pneumonia
This Nursing Home:

20.4%
Minnesota:

18.3%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 44%

How often did nurses communicate well with patients?

Sometimes or never
Here:

3%
State:

3%
Usually
This Nursing Home:

31%
State:

18%
Always
This Nursing Home:

66%
State:

79%

How often did doctors communicate well with patients?

Sometimes or never
This Nursing Home:

4%
Minnesota:

3%
Usually
Here:

21%
Minnesota:

14%
Always
Here:

75%
State:

83%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

9%
Minnesota:

6%
Usually
Here:

32%
Minnesota:

22%
Always
This Nursing Home:

59%
Minnesota:

72%

How often was patients' pain well controlled?

Sometimes or never
Here:

14%
Minnesota:

5%
Usually
Here:

24%
Minnesota:

25%
Always
This Nursing Home:

62%
State:

70%

How often did staff explain about medicines before giving them to patients?

Sometimes or never
This Nursing Home:

15%
Minnesota:

16%
Usually
Here:

23%
Minnesota:

20%
Always
This Nursing Home:

62%
State:

64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never
This Nursing Home:

3%
State:

6%
Usually
This Nursing Home:

17%
Minnesota:

18%
Always
This Nursing Home:

80%
State:

76%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never
This Nursing Home:

5%
State:

7%
Usually
Here:

28%
State:

30%
Always
Here:

67%
Minnesota:

63%

Were patients given information about what to do during their recovery at home?

Yes
Here:

84%
Minnesota:

86%
No
Here:

16%
Minnesota:

14%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower
This Nursing Home:

9%
State:

6%
7 or 8
Here:

36%
Minnesota:

22%
9 or 10
Here:

55%
Minnesota:

72%

Would patients recommend the hospital to friends and family?

No
Here:

2%
State:

3%
Yes, probably
This Nursing Home:

33%
Minnesota:

24%
Yes, definitely
Here:

65%
State:

73%

Staff Information

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

0.570
Minnesota:

0.794
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.780
State:

0.750
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.350
Minnesota:

1.543

Use of Medical Imaging

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

1.300%
State:

6.118%

Complaint Deficiency

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