SAMARITAN BETHANY HOME ON EIGHTH

Nursing Home Inspector

24 - 8TH STREET NORTHWEST
ROCHESTER, MN 55901
Olmsted County
Phone: 507-289-4031
Provider Number: 245530
Last Inspection: 12/29/2016

About the Nursing Home

Number of Beds: 155
Number of Residents: 148
Beds Available: 7
Percent Occupancy: 95%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For 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

 

3

Facility
25

County
19

MN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2016
16

2016
26

2015

Medicare Ratings

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

 

Details by Inspection Date

12/29/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 2/3/2017
 

2/4/2016 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 3/11/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/11/2016
 
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 3/11/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 3/11/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 3/11/2016
 

3/5/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 4/10/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 4/10/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 4/10/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 4/10/2015
 
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 4/10/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/10/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 4/10/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 4/10/2015
 

Complaint Investigation Deficiencies

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

5/2/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) 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. Isolated : Minimal 3 6/9/2016
 
Failed To: Develop 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. Isolated : Minimal 3 6/9/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MN State Avg
Number of Residents 148 64.00 65.71
Registered Nurses 0.78 0.95 0.93
Licensed Practical / Vocational Nurses 0.86 0.46 0.68
Certified Nursing Assistants 3.38 2.40 2.53
Total Staff Hours 5.02 3.80 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 4 5 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 89 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 96 96
of long-stay residents experiencing one or more falls with major injury 5 4 4
of long-stay residents who have depressive symptoms 5 4 4
of long-stay residents who lose too much weight 14 10 7
of long-stay residents who received an antianxiety or hypnotic medication 7 6 13
of long-stay residents who received an antipsychotic medication 10 10 13
of long-stay residents who self-report moderate to severe pain 13 11 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 16 16 17
of long-stay residents whose need for help with daily activities has increased 13 14 14
of long-stay residents with a catheter inserted and left in their bladder 3 2 2
of long-stay residents with a urinary tract infection 3 3 3
of low risk long-stay residents who lose control of their bowels or bladder 50 54 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 86 83 84
of short-stay residents who had an outpatient emergency department visit 7 8 12
of short-stay residents who made improvements in function 76 73 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 32 25 20
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84 87 82
of short-stay residents who were rehospitalized after a nursing home admission 18 14 19
of short-stay residents who were successfully discharged to the community 76 70 64
of short-stay residents with pressure ulcers that are new or worsened 2 1 0