APPLETON MUNICIPAL HOSPITAL

Nursing Home Inspector

30 SOUTH BEHL STREET
APPLETON, MN 56208
Swift County
Phone: 320-289-2422
Provider Number: 245231
Last Inspection: 05/18/2017

About the Nursing Home

Number of Beds: 50
Number of Residents: 38
Beds Available: 12
Percent Occupancy: 76%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Government - City
Within Hospital?: YES

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

22

Facility
12

County
19

MN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

22

2017
8

2016
0

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

5/18/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 6/27/2017
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 6/27/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 6/27/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 6/27/2017
 
Failed To: Ensure 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. Isolated : Minimal 3 6/27/2017
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 6/27/2017
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 6/27/2017
 

4/21/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 6/5/2016
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Minimal 5 6/5/2016
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MN State Avg
Number of Residents 38 41.50 65.71
Registered Nurses 0.69 0.61 0.93
Licensed Practical / Vocational Nurses 0.55 0.65 0.68
Certified Nursing Assistants 2.55 2.26 2.53
Total Staff Hours 3.80 3.52 4.14

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MN State Avg%
of high risk long-stay residents with pressure ulcers 2 2 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 98 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 97 96
of long-stay residents experiencing one or more falls with major injury 0 2 4
of long-stay residents who have depressive symptoms 4 2 4
of long-stay residents who lose too much weight 9 8 7
of long-stay residents who received an antianxiety or hypnotic medication 20 13 13
of long-stay residents who received an antipsychotic medication 9 11 13
of long-stay residents who self-report moderate to severe pain 16 9 9
of long-stay residents who were physically restrained 1 0 0
of long-stay residents whose ability to move independently worsened 20 17 17
of long-stay residents whose need for help with daily activities has increased 16 19 14
of long-stay residents with a catheter inserted and left in their bladder 2 4 2
of long-stay residents with a urinary tract infection 0 1 3
of low risk long-stay residents who lose control of their bowels or bladder 29 34 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 92 90 84
of short-stay residents who self-report moderate to severe pain 9 Not Available   12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 68 75
of short-stay residents with pressure ulcers that are new or worsened 0 2 1