ST ELIZABETH MEDICAL CENTER (WABASHA, MN) Detailed Nursing Home Profile

Complaint Deficiency

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
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Check and assess each resident's assessment at least every 3 months
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few

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%
State:	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%
State:	47.8%

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

Here:	5.3%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	3.1%
Minnesota:	5.2%

Percent of long-stay residents who have depressive symptoms

Here:	6.3%
State:	7.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.0%
Minnesota:	1.0%

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

This Nursing Home:	8.2%
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:	99.0%
State:	96.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	19.6%
Minnesota:	17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.700
Minnesota:	0.794

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

Here:	0.640
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	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

Use of Medical Imaging

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

Here:	11.700%
Minnesota:	6.118%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.066%
Minnesota:	0.072%

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%
Minnesota:	3%

Usually

This Nursing Home:	12%
State:	18%

Always

This Nursing Home:	86%
Minnesota:	79%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	3%
State:	3%

Usually

This Nursing Home:	13%
Minnesota:	14%

Always

This Nursing Home:	84%
Minnesota:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	4%
Minnesota:	6%

Usually

Here:	13%
Minnesota:	22%

Always

Here:	83%
State:	72%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	4%
Minnesota:	5%

Usually

This Nursing Home:	23%
State:	25%

Always

This Nursing Home:	73%
State:	70%

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

Sometimes or never

This Nursing Home:	17%
State:	16%

Usually

This Nursing Home:	15%
State:	20%

Always

Here:	68%
State:	64%

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

Sometimes or never

This Nursing Home:	3%
Minnesota:	6%

Usually

This Nursing Home:	6%
State:	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

This Nursing Home:	33%
Minnesota:	30%

Always

Here:	62%
State:	63%

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

Yes

Here:	85%
Minnesota:	86%

This Nursing Home:	15%
State:	14%

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

6 or lower

This Nursing Home:	4%
State:	6%

7 or 8

This Nursing Home:	18%
State:	22%

9 or 10

Here:	78%
Minnesota:	72%

Would patients recommend the hospital to friends and family?

This Nursing Home:	2%
State:	3%

Yes, probably

Here:	17%
State:	24%

Yes, definitely

This Nursing Home:	81%
Minnesota:	73%

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

This Nursing Home:	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

Here:	100.0%
State:	96.1%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	93.0%
State:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	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

This Nursing Home:	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%
Minnesota:	97.6%

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

Here:	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

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%
Minnesota:	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:	100.0%
State:	92.7%

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

This Nursing Home:	100.0%
State:	95.2%

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

Here:	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%
Minnesota:	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%
State:	18.3%

ST ELIZABETH MEDICAL CENTER - WABASHA, MN

Complaint Deficiency

Quality Measures

Staff Information

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

User Contributions:

Comment about this article, ask questions, or add new information about this topic: