SHIRLEY CHAPMAN SHOLOM HOME EAST

Nursing Home Inspector

740 KAY AVENUE
SAINT PAUL, MN 55102
Ramsey County
Phone: 651-328-2000
Provider Number: 245411
Last Inspection: 08/24/2017

About the Nursing Home

Number of Beds: 118
Number of Residents: 101
Beds Available: 17
Percent Occupancy: 86%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

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

 

0

Facility
16

County
19

MN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
6

2016
16

2015

Medicare Ratings

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

 

Details by Inspection Date

9/1/2016 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 10/11/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 10/11/2016
 

9/3/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/18/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 10/18/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 10/18/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 10/18/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/18/2015
 

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 101 87.86 65.71
Registered Nurses 0.85 1.18 0.93
Licensed Practical / Vocational Nurses 1.33 0.71 0.68
Certified Nursing Assistants 2.84 2.66 2.53
Total Staff Hours 5.03 4.55 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 10 5 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 91 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 95 96
of long-stay residents experiencing one or more falls with major injury 6 3 4
of long-stay residents who have depressive symptoms 10 5 4
of long-stay residents who lose too much weight 8 6 7
of long-stay residents who received an antianxiety or hypnotic medication 15 12 13
of long-stay residents who received an antipsychotic medication 12 15 13
of long-stay residents who self-report moderate to severe pain 4 9 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 20 15 17
of long-stay residents whose need for help with daily activities has increased 11 13 14
of long-stay residents with a catheter inserted and left in their bladder 4 1 2
of long-stay residents with a urinary tract infection 3 2 3
of low risk long-stay residents who lose control of their bowels or bladder 60 57 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 90 70 84
of short-stay residents who had an outpatient emergency department visit 7 11 12
of short-stay residents who made improvements in function 73 69 75
of short-stay residents who newly received an antipsychotic medication 1 1 1
of short-stay residents who self-report moderate to severe pain 19 23 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76 76 82
of short-stay residents who were rehospitalized after a nursing home admission 22 20 19
of short-stay residents who were successfully discharged to the community 75 65 64
of short-stay residents with pressure ulcers that are new or worsened 0 0 0