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Mother Of Mercy Campus Of Care

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About Mother Of Mercy Campus Of Care

General Information

Legal Business NameMother Of Mercy Campus Of Care
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1986 (30 years)
Capacity73
Residents66
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Mother Of Mercy Campus Of Care

Mother Of Mercy Campus Of Care
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Minnesota Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 7, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

August 4, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.

June 19, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) 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.

July 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Mother Of Mercy Campus Of Care require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 20min
2hr 30min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
1hr
50min
ReportedExpected
RN
5hr 15min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

83.1%
79.5%
79.5%
97.0%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.5%
98.3%
94.8%
94.9%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.6%
Q1 2015Q2 2015Q3 2015MN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
17.2%
14.0%
12.3%
13.4%
Q1 2015Q2 2015Q3 2015MN
Received an Antipsychotic Medication
23.6%
15.4%
9.8%
14.8%
Q1 2015Q2 2015Q3 2015MN
Need for Help with ADLs has Increased
5.1%
8.8%
0.0%
11.2%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
12.5%
8.9%
1.7%
7.0%
Q1 2015Q2 2015Q3 2015MN
Lose Too Much Weight
0.0%
3.9%
0.0%
4.2%
Q1 2015Q2 2015Q3 2015MN
High Risk Residents With Pressure Ulcers
8.3%
5.8%
3.8%
5.1%
Q1 2015Q2 2015Q3 2015MN
Have Depressive Symptoms
7.8%
12.5%
3.4%
4.2%
Q1 2015Q2 2015Q3 2015MN
With a Urinary Tract Infection
3.1%
5.2%
6.9%
4.2%
Q1 2015Q2 2015Q3 2015MN
Experiencing One or More Falls with Major Injury
3.3%
2.5%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015MN
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015MN
Were Physically Restrained

Quality Measures for Short Stay Residents

-
91.3%
81.1%
83.3%
Q1 2015Q2 2015Q3 2015MN
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
82.9%
Q1 2015Q2 2015Q3 2015MN
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
28.0%
22.6%
Q1 2015Q2 2015Q3 2015MN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
0.0%
1.7%
Q1 2015Q2 2015Q3 2015MN
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015MN
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened