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Madonna Towers Of Rochester Inc

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About Madonna Towers Of Rochester Inc

General Information

Legal Business NameMadonna Towers Of Rochester, Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 14, 1968 ()
Capacity62
Residents58
Percent Occupied94%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Madonna Towers Of Rochester Inc

Madonna Towers Of Rochester Inc
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

July 1, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CManyPotential for Minimal HarmHealth InspectionHave enough backup water supply for essential areas of the nursing home.
CManyPotential for Minimal HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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 InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionGive notice to the resident before a room or roommate change.

June 29, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.

September 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 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 InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

November 1, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$9,555 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Madonna Towers Of Rochester Inc 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 40min
ReportedExpected
CNA
25min
35min
ReportedExpected
LPN
1hr 5min
50min
ReportedExpected
RN
4hr 50min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.8%
93.9%
93.9%
97.0%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
82.6%
87.5%
86.7%
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
2.2%
0.0%
2.2%
13.4%
Q1 2015Q2 2015Q3 2015MN
Received an Antipsychotic Medication
9.1%
20.0%
17.5%
14.8%
Q1 2015Q2 2015Q3 2015MN
Need for Help with ADLs has Increased
12.8%
8.4%
11.5%
11.2%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
2.2%
2.1%
4.7%
7.0%
Q1 2015Q2 2015Q3 2015MN
Lose Too Much Weight
7.9%
0.0%
2.7%
4.2%
Q1 2015Q2 2015Q3 2015MN
High Risk Residents With Pressure Ulcers
2.2%
0.0%
0.0%
5.1%
Q1 2015Q2 2015Q3 2015MN
Have Depressive Symptoms
2.2%
2.1%
0.0%
4.2%
Q1 2015Q2 2015Q3 2015MN
With a Urinary Tract Infection
2.2%
2.1%
2.2%
4.2%
Q1 2015Q2 2015Q3 2015MN
Experiencing One or More Falls with Major Injury
3.6%
3.7%
5.3%
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

84.6%
87.9%
91.7%
83.3%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
85.6%
85.6%
85.6%
82.9%
Q1 2015Q2 2015Q3 2015MN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
19.4%
13.6%
4.7%
22.6%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
0.0%
1.2%
1.0%
1.7%
Q1 2015Q2 2015Q3 2015MN
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015MN
With Pressure Ulcers That Are New or Worsened