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Nelson County Health System Care Center

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About Nelson County Health System Care Center

General Information

Legal Business NameNelson County Health System
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 1980 (37 years)
Capacity39
Residents37
Percent Occupied95%
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 Nelson County Health System Care Center

Nelson County Health System Care Center
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 North Dakota 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

December 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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 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 services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
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.
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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

September 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential 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 InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

January 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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 services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
BSomePotential for Minimal HarmHealth InspectionKeep clinical record information safe.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Nelson County Health System Care Center 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 40min
2hr 15min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
40min
45min
ReportedExpected
RN
3hr 55min
3hr 35min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
98.2%
Q1 2015Q2 2015Q3 2015ND
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.1%
100.0%
97.2%
95.8%
Q1 2015Q2 2015Q3 2015ND
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
44.8%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
11.8%
14.3%
19.4%
19.1%
Q1 2015Q2 2015Q3 2015ND
Received an Antipsychotic Medication
9.1%
14.3%
11.1%
16.8%
Q1 2015Q2 2015Q3 2015ND
Need for Help with ADLs has Increased
-
32.1%
19.7%
10.9%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
6.2%
0.0%
3.1%
7.2%
Q1 2015Q2 2015Q3 2015ND
Lose Too Much Weight
-
-
-
4.4%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
3.1%
3.0%
2.9%
6.5%
Q1 2015Q2 2015Q3 2015ND
Have Depressive Symptoms
3.1%
3.0%
0.0%
5.1%
Q1 2015Q2 2015Q3 2015ND
With a Urinary Tract Infection
2.9%
2.9%
2.8%
5.1%
Q1 2015Q2 2015Q3 2015ND
Experiencing One or More Falls with Major Injury
6.7%
6.2%
2.7%
3.2%
Q1 2015Q2 2015Q3 2015ND
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.3%
Q1 2015Q2 2015Q3 2015ND
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
80.7%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
80.7%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
18.9%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.1%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.8%
Q1 2015Q2 2015Q3 2015ND
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened