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ST ELIZABETH MEDICAL CENTER - WABASHA, MN

 



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Address
1200 FIFTH GRANT BOULEVARD WEST
WABASHA, MN, 55981
Phone (make sure to verify first before calling): (651) 565-4531

Number of Certified Beds: 100
Total Number of Residents: 99
Percent of Occupied Beds: 99%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: Yes
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: 5 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.34
Administrative Staff - Part Time: 2.31
Certified Nurse Aides - Full Time: 3.49
Certified Nurse Aides - Part Time: 32.31
Food Service Personnel - Full Time: 13.43
Food Service Personnel - Part Time: 12.61
Housekeeping Personnel - Full Time: 1.03
Licensed Practical/ Vocational Nurses - Full Time: 1.27
Licensed Practical/ Vocational Nurses - Part Time: 8.60
Nurses With Administrative Duties - Full Time: 0.81
Persons Not Included In Any Other Categories - Full Time: 5.16
Registered Nurses - Full Time: 0.24
Rn Director Of Nursing - Full Time: 0.91
Social Workers - Full Time: 2.20
Activities Professionals - Full Time: 0.93
Dietitians - Part Time: 0.87
Occupational Therapists - Part Time: 0.21
Mental Health Services Personnel - Full Time: 0.09
Persons Not Included In Any Other Categories - Part Time: 3.00
Registered Nurses - Part Time: 8.56
Housekeeping Personnel - Part Time: 3.69
Pharmacists - Full Time: 0.17
Physical Therapists - Full Time: 0.29
Speech Pathologists - Part Time: 0.06
Pharmacists - Part Time: 0.23
Physical Therapy Aide - Part Time: 0.33
Medication Aides/ Technicians - Part Time: 6.14

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health 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 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 Non 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
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Staff Information

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

0.700
Minnesota:

0.794
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.640
Minnesota:

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

1.340
Minnesota:

1.543
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.020
Minnesota:

0.078
Number Therapy Hours Per Resident Per Day
Here:

0.020
State:

0.087

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: Between 100 and 299
Survey Response Rate: 48%

How often did nurses communicate well with patients?

Sometimes or never
Here:

2%
State:

3%
Usually
This Nursing Home:

12%
State:

18%
Always
This Nursing Home:

86%
State:

79%

How often did doctors communicate well with patients?

Sometimes or never
This Nursing Home:

3%
State:

3%
Usually
Here:

13%
Minnesota:

14%
Always
Here:

84%
Minnesota:

83%

How often did patients receive help quickly from hospital staff?

Sometimes or never
This Nursing Home:

4%
State:

6%
Usually
Here:

13%
State:

22%
Always
Here:

83%
State:

72%

How often was patients' pain well controlled?

Sometimes or never
This Nursing Home:

4%
State:

5%
Usually
Here:

23%
State:

25%
Always
Here:

73%
State:

70%

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

Sometimes or never
Here:

17%
State:

16%
Usually
This Nursing Home:

15%
Minnesota:

20%
Always
This Nursing Home:

68%
Minnesota:

64%

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

Sometimes or never
Here:

3%
State:

6%
Usually
This Nursing Home:

6%
Minnesota:

18%
Always
This Nursing Home:

91%
Minnesota:

76%

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

Sometimes or never
This Nursing Home:

5%
State:

7%
Usually
Here:

33%
Minnesota:

30%
Always
This Nursing Home:

62%
Minnesota:

63%

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

Yes
This Nursing Home:

85%
Minnesota:

86%
No
Here:

15%
Minnesota:

14%

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

6 or lower
Here:

4%
Minnesota:

6%
7 or 8
This Nursing Home:

18%
State:

22%
9 or 10
This Nursing Home:

78%
Minnesota:

72%

Would patients recommend the hospital to friends and family?

No
Here:

2%
State:

3%
Yes, probably
Here:

17%
State:

24%
Yes, definitely
This Nursing Home:

81%
Minnesota:

73%

Quality Measures

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

9.5%
Minnesota:

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

5.4%
Minnesota:

12.5%
Percent of long-stay high-risk residents with pressure ulcers
Here:

5.6%
State:

4.1%
Percent of long-stay residents who lose too much weight
Here:

4.1%
State:

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

22.0%
Minnesota:

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

5.3%
Minnesota:

4.1%
Percent of long-stay residents with a urinary tract infection
Here:

3.1%
State:

5.2%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

6.3%
Minnesota:

7.4%
Percent of long-stay residents who were physically restrained
Here:

1.0%
State:

1.0%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

8.2%
State:

3.9%
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
Here:

99.0%
State:

96.8%
Percent of long-stay residents who received an antipsychotic medication
Here:

19.6%
Minnesota:

17.4%

Process of Care

Heart Failure

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

100.0%
Minnesota:

97.5%
Percent of Patients Given Discharge Instructions
Here:

100.0%
State:

88.6%

Pneumonia

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

95.0%
State:

97.1%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
This Nursing Home:

100.0%
State:

96.1%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Nursing Home:

93.0%
State:

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

91.0%
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:

97.0%
State:

97.4%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Here:

93.0%
State:

97.6%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
This Nursing Home:

100.0%
State:

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:

100.0%
State:

96.7%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
This Nursing Home:

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
Here:

100.0%
Minnesota:

99.8%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
This Nursing Home:

100.0%
Minnesota:

92.7%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

100.0%
Minnesota:

95.2%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
This Nursing Home:

97.0%
Minnesota:

99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure
This Nursing Home:

11.9%
Minnesota:

11.2%
30-Day Mortality Rates from Pneumonia
This Nursing Home:

10.7%
State:

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

23.0%
State:

24.3%
30-Day Readmission Rates from Pneumonia
Here:

17.9%
Minnesota:

18.3%

Use of Medical Imaging

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

11.700%
Minnesota:

6.118%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.066%
Minnesota:

0.072%

Complaint Deficiency

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)

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)

A two-hour-resistant firewall in common walls: Many (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)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (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)

Weekly inspections and monthly testing of generators: Many (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)

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)

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)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (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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