CENTRACARE HEALTH SYSTEM - MELROSE PINE VILLA C C

Nursing Home Inspector

525 WEST MAIN STREET
MELROSE, MN 56352
Stearns County
Phone: 320-256-4231
Provider Number: 245396
Last Inspection: 04/13/2017

About the Nursing Home

Number of Beds: 75
Number of Residents: 74
Beds Available: 1
Percent Occupancy: 99%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Corporation
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

 

9

Facility
20

County
19

MN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2017
10

2016
14

2015

Medicare Ratings

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

 

Details by Inspection Date

4/13/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/19/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Potential 4 5/19/2017
 

6/30/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 7/25/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/4/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 8/9/2016
 

4/23/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 6/2/2015
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 6/2/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 6/2/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 6/2/2015
 

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 74 61.00 65.71
Registered Nurses 0.50 0.68 0.93
Licensed Practical / Vocational Nurses 0.70 0.68 0.68
Certified Nursing Assistants 2.99 2.46 2.53
Total Staff Hours 4.19 3.82 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 3 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 95 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 9 5 4
of long-stay residents who have depressive symptoms 7 4 4
of long-stay residents who lose too much weight 7 5 7
of long-stay residents who received an antianxiety or hypnotic medication 7 12 13
of long-stay residents who received an antipsychotic medication 8 10 13
of long-stay residents who self-report moderate to severe pain 8 10 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 19 17
of long-stay residents whose need for help with daily activities has increased 15 16 14
of long-stay residents with a catheter inserted and left in their bladder 1 2 2
of long-stay residents with a urinary tract infection 4 3 3
of low risk long-stay residents who lose control of their bowels or bladder 56 48 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 96 92 84
of short-stay residents who self-report moderate to severe pain 22 10 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98 75 75
of short-stay residents with pressure ulcers that are new or worsened 2 0 1