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Cook Co Northshore Hosp & C&Nc

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About Cook Co Northshore Hosp & C&Nc

General Information

Legal Business NameCook County Hospital District
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1987 (30 years)
Capacity37
Residents30
Percent Occupied81%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cook Co Northshore Hosp & C&Nc

Cook Co Northshore Hosp & C&Nc
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

June 10, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

July 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FManyPotential for HarmHealth InspectionLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
FManyPotential 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.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

August 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
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 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.
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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cook Co Northshore Hosp & C&Nc 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 15min
2hr 15min
ReportedExpected
CNA
1hr 10min
30min
ReportedExpected
LPN
45min
45min
ReportedExpected
RN
5hr 5min
3hr 30min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
100.0%
96.5%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
95.0%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
50.5%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
12.5%
12.5%
11.1%
7.4%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
24.0%
16.7%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
29.2%
20.0%
17.9%
14.8%
13.7%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who received an antipsychotic medication
20.8%
16.7%
23.1%
26.9%
14.7%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents whose need for help with daily activities has increased
-
-
-
-
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
8.0%
10.7%
7.4%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who lose too much weight
-
-
-
-
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
9.1%
4.0%
0.0%
0.0%
4.6%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who have depressive symptoms
4.2%
4.0%
3.6%
7.4%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents with a urinary tract infection
4.2%
12.0%
17.9%
11.1%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
5.6%
8.7%
5.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2015Q1 2016Q2 2016Q3 2016MN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

-
-
-
-
83.6%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
81.4%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
73.5%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
1.8%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
-
-
-
-
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016MN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened