BIGFORK VALLEY COMMUNITIES (BIGFORK, MN) Detailed Nursing Home Profile

Process of Care

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Nursing Home:	92.0%
State:	97.1%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	91.0%
Minnesota:	96.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	94.0%
State:	94.9%

Surgery

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

Here:	99.0%
State:	97.4%

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

This Nursing Home:	99.0%
State:	97.6%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

This Nursing Home:	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

This Nursing Home:	100.0%
State:	96.7%

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

Here:	100.0%
State:	97.4%

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

This Nursing Home:	100.0%
State:	99.8%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Nursing Home:	97.0%
State:	92.7%

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

Here:	59.0%
State:	95.2%

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

This Nursing Home:	100.0%
State:	99.3%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 54%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	2%
State:	3%

Usually

Here:	4%
Minnesota:	18%

Always

Here:	94%
State:	79%

How often did doctors communicate well with patients?

Usually

This Nursing Home:	1%
Minnesota:	14%

Always

Here:	99%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	3%
State:	6%

Usually

Here:	2%
State:	22%

Always

Here:	95%
Minnesota:	72%

How often was patients' pain well controlled?

Sometimes or never

Here:	1%
State:	5%

Usually

This Nursing Home:	14%
State:	25%

Always

This Nursing Home:	85%
Minnesota:	70%

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

Sometimes or never

Here:	12%
State:	16%

Usually

Here:	10%
State:	20%

Always

This Nursing Home:	78%
State:	64%

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

Sometimes or never

This Nursing Home:	3%
Minnesota:	6%

Usually

Here:	5%
Minnesota:	18%

Always

This Nursing Home:	92%
State:	76%

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

Sometimes or never

This Nursing Home:	3%
State:	7%

Usually

Here:	18%
State:	30%

Always

Here:	79%
Minnesota:	63%

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

Yes

This Nursing Home:	91%
Minnesota:	86%

This Nursing Home:	9%
State:	14%

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

6 or lower

This Nursing Home:	2%
State:	6%

7 or 8

Here:	5%
State:	22%

9 or 10

This Nursing Home:	93%
Minnesota:	72%

Would patients recommend the hospital to friends and family?

Yes, probably

Here:	6%
State:	24%

Yes, definitely

This Nursing Home:	94%
State:	73%

Quality Measures

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

This Nursing Home:	23.3%
Minnesota:	15.5%

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

This Nursing Home:	3.8%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	2.9%
State:	5.2%

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

This Nursing Home:	100.0%
State:	97.0%

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

This Nursing Home:	100.0%
Minnesota:	96.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	14.7%
State:	17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.470
State:	0.794

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

This Nursing Home:	1.160
State:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.630
State:	1.543

Complaint Deficiency

Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many
No-smoking signs where oxygen is used
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper fire barriers, ventilation and signs for the transport of oxygen
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed hallway dispensers for alcohol-based hand rub
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Check and assess each resident's assessment at least every 3 months
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide food in a way that meets a resident's needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that special or therapeutic diets are ordered by the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that paid feeding assistants 1) completed training; 2) works under the supervision of a RN or LPN; and 3) feeds only residents who have no complicated feeding problems
- Harm: Actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly maintained smoke detectors
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Portable fire extinguishers
- Harm: Potential for minimal harm
- Scope: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide routine and 24-hour emergency dental care for each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Check and assess each resident's assessment at least every 3 months
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Use of Medical Imaging

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

Here:	2.800%
State:	6.118%

BIGFORK VALLEY COMMUNITIES - BIGFORK, MN

Process of Care

Pneumonia

Surgery

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Staff Information

Complaint Deficiency

Use of Medical Imaging

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