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Minnewaska Community Health Services

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About Minnewaska Community Health Services

General Information

Legal Business NameMinnewaska Lutheran Home
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 27, 1989 (27 years)
Capacity65
Residents58
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Minnewaska Community Health Services

Minnewaska Community Health Services
was reviewed by Medicare to have a rating of 1 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 23, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
GFewActual HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
GFewActual HarmHealth InspectionMake sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

October 20, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

January 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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 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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential 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.
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 InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential 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.

June 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

June 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Minnewaska Community Health Services 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.

2hr 10min
2hr 20min
ReportedExpected
CNA
1hr
35min
ReportedExpected
LPN
25min
45min
ReportedExpected
RN
3hr 40min
3hr 40min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
97.0%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
98.3%
94.9%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
30.0%
-
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
8.8%
7.7%
12.1%
13.4%
Q1 2015Q2 2015Q3 2015MN
Received an Antipsychotic Medication
12.0%
10.2%
12.3%
14.8%
Q1 2015Q2 2015Q3 2015MN
Need for Help with ADLs has Increased
3.8%
8.7%
13.8%
11.2%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
3.5%
9.6%
10.3%
7.0%
Q1 2015Q2 2015Q3 2015MN
Lose Too Much Weight
0.0%
3.1%
14.7%
4.2%
Q1 2015Q2 2015Q3 2015MN
High Risk Residents With Pressure Ulcers
17.3%
6.8%
7.0%
5.1%
Q1 2015Q2 2015Q3 2015MN
Have Depressive Symptoms
5.3%
3.8%
3.4%
4.2%
Q1 2015Q2 2015Q3 2015MN
With a Urinary Tract Infection
3.4%
5.7%
3.4%
4.2%
Q1 2015Q2 2015Q3 2015MN
Experiencing One or More Falls with Major Injury
5.3%
4.5%
6.1%
3.2%
Q1 2015Q2 2015Q3 2015MN
With a Catheter Inserted and Left in Their Bladder
5.2%
1.9%
1.7%
0.4%
Q1 2015Q2 2015Q3 2015MN
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
91.9%
87.0%
83.3%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
93.1%
96.4%
96.4%
82.9%
Q1 2015Q2 2015Q3 2015MN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
15.4%
6.2%
9.1%
22.6%
Q1 2015Q2 2015Q3 2015MN
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
3.5%
3.9%
5.5%
1.2%
Q1 2015Q2 2015Q3 2015MN
With Pressure Ulcers That Are New or Worsened