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St Marks Lutheran Home

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About St Marks Lutheran Home

General Information

Legal Business NameSt Marks Lutheran Home
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 1, 1986 (30 years)
Capacity61
Residents54
Percent Occupied89%
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 St Marks Lutheran Home

St Marks Lutheran Home
was reviewed by Medicare to have a rating of 2 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

October 2, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionDevelop 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.
ESomePotential for HarmHealth Inspection1) 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.
ESomePotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
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 InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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 InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.

October 1, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

January 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
FManyPotential for HarmFire Safety InspectionProperly constructed linen or trash chutes.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

April 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of St Marks Lutheran Home 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 5min
2hr 45min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
4hr 40min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
92.6%
92.6%
97.0%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
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
9.8%
12.5%
12.8%
13.4%
Q1 2015Q2 2015Q3 2015MN
Received an Antipsychotic Medication
7.5%
10.0%
8.3%
14.8%
Q1 2015Q2 2015Q3 2015MN
Need for Help with ADLs has Increased
9.7%
-
-
11.2%
Q1 2015Q2 2015Q3 2015MN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
0.0%
7.9%
7.0%
Q1 2015Q2 2015Q3 2015MN
Lose Too Much Weight
2.5%
5.3%
9.1%
4.2%
Q1 2015Q2 2015Q3 2015MN
High Risk Residents With Pressure Ulcers
0.0%
2.5%
2.9%
5.1%
Q1 2015Q2 2015Q3 2015MN
Have Depressive Symptoms
4.7%
2.3%
2.6%
4.2%
Q1 2015Q2 2015Q3 2015MN
With a Urinary Tract Infection
4.4%
4.7%
7.3%
4.2%
Q1 2015Q2 2015Q3 2015MN
Experiencing One or More Falls with Major Injury
3.3%
5.1%
5.8%
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

92.7%
90.4%
89.2%
83.3%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
83.9%
82.1%
82.1%
82.9%
Q1 2015Q2 2015Q3 2015MN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
10.5%
10.9%
8.5%
22.6%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
1.4%
1.5%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015MN
Newly Received an Antipsychotic Medication
0.6%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015MN
With Pressure Ulcers That Are New or Worsened