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St John's Lutheran Home

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About St John's Lutheran Home

General Information

Legal Business NameSt Johns Lutheran Ministries
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity186
Residents172
Percent Occupied92%
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 St John's Lutheran Home

St John's Lutheran Home
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Montana 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

September 1, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
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.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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 InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

October 22, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

September 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
DFewPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

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 John's 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 35min
2hr 25min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
1hr 15min
55min
ReportedExpected
RN
5hr 15min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.3%
99.3%
99.3%
99.3%
95.8%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
98.6%
99.3%
100.0%
91.3%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
54.1%
58.1%
57.1%
56.7%
43.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of low risk long-stay residents who lose control of their bowels or bladder
12.9%
12.8%
13.8%
10.6%
19.6%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who received an antianxiety or hypnotic medication
15.4%
12.6%
10.4%
13.8%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents whose ability to move independently worsened
14.7%
13.1%
14.5%
16.3%
14.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who received an antipsychotic medication
5.8%
4.5%
4.7%
13.1%
15.8%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents whose need for help with daily activities has increased
4.6%
3.2%
2.9%
10.7%
12.3%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who self-report moderate to severe pain
2.8%
3.6%
5.0%
4.4%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who lose too much weight
4.7%
3.1%
4.1%
3.3%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of high risk long-stay residents with pressure ulcers
6.3%
3.0%
2.9%
5.2%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who have depressive symptoms
3.5%
0.0%
0.7%
2.2%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents with a urinary tract infection
3.5%
5.1%
2.2%
2.2%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents experiencing one or more falls with major injury
4.3%
2.9%
2.4%
0.7%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

84.6%
84.2%
81.1%
80.5%
77.9%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.6%
85.0%
85.0%
85.0%
76.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
66.3%
59.5%
65.2%
71.1%
68.6%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents who made improvements in function
19.0%
13.2%
17.1%
19.7%
21.5%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents who self-report moderate to severe pain
0.5%
1.1%
0.5%
0.0%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents who newly received an antipsychotic medication
0.9%
0.8%
0.4%
0.4%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016MT
Percentage of short-stay residents with pressure ulcers that are new or worsened