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%

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?

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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