ST LUKE COMMUNITY NURSING HOME - RONAN, MT

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Address

107 6TH AVE S W
RONAN, MT, 59864

Phone (make sure to verify first before calling): (406) 676-4441

Number of Certified Beds: 75
Total Number of Residents: 51
Percent of Occupied Beds: 68%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.57
Administrative Staff - Part Time: 0.73
Certified Nurse Aides - Full Time: 20.14
Certified Nurse Aides - Part Time: 5.64
Food Service Personnel - Full Time: 4.14
Food Service Personnel - Part Time: 4.96
Housekeeping Personnel - Full Time: 4.26
Licensed Practical/ Vocational Nurses - Full Time: 2.10
Licensed Practical/ Vocational Nurses - Part Time: 0.71
Nurses With Administrative Duties - Full Time: 1.07
Registered Nurses - Full Time: 6.00
Rn Director Of Nursing - Full Time: 0.57
Activities Professionals - Part Time: 0.49
Dietitians - Part Time: 0.13
Occupational Therapists - Part Time: 0.03
Medical Directors - Full Time: 0.01
Speech Pathologists - Under Contract: 0.01
Registered Nurses - Part Time: 3.49
Housekeeping Personnel - Part Time: 5.03
Pharmacists - Part Time: 0.11

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
Diagnostic Xray Services Are Provided Offsite 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
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Offsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Offsite To Residents

Process of Care

Heart Failure

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

Here:	81.0%
State:	96.4%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	100.0%
Montana:	96.3%

Percent of Patients Given Discharge Instructions

Here:	84.0%
State:	90.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
Montana:	100.0%

Pneumonia

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

Here:	100.0%
Montana:	98.0%

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

Here:	96.0%
State:	96.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.5%

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

Here:	84.0%
State:	92.5%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	93.0%
State:	96.1%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	98.0%
Montana:	95.7%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	12.0%
State:	12.4%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	11.1%
State:	12.1%

30-Day Readmission Rates from Heart Failure

Here:	26.2%
Montana:	22.5%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.6%
Montana:	17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.980
Montana:	0.883

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

Here:	0.430
Montana:	0.533

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.410
Montana:	1.405

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
State:	0.101

Number Therapy Hours Per Resident Per Day

Here:	0.030
Montana:	0.118

Quality Measures

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

This Nursing Home:	11.6%
Montana:	13.7%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	12.5%
State:	15.0%

Percent of long-stay residents who lose too much weight

Here:	4.2%
State:	8.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	2.1%
Montana:	6.5%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	10.6%
Montana:	8.3%

Percent of long-stay residents who were physically restrained

Here:	4.0%
Montana:	1.8%

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

Here:	2.0%
Montana:	4.6%

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

Here:	100.0%
State:	95.9%

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

Here:	100.0%
Montana:	91.2%

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

Here:	100.0%
State:	88.3%

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

Here:	100.0%
Montana:	81.3%

Percent of long-stay residents who received an antipsychotic medication

Here:	16.7%
Montana:	19.6%

Complaint Deficiency

Approved construction type or materials: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Some (Potential for minimal harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Some (Potential for minimal harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Potential for minimal harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Some (Minimal harm or potential for actual harm)

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)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: 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: Some (Minimal harm or potential for actual harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: 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: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

The appropriate emergency electrical equipment: Many (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm)

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