BYWOOD EAST HEALTH CARE

Nursing Home Inspector

3427 CENTRAL AVENUE NORTHEAST
MINNEAPOLIS, MN 55418
Hennepin County
Phone: 612-788-9757
Provider Number: 24E185
Last Inspection: 07/19/2017

About the Nursing Home

Number of Beds: 98
Number of Residents: 84
Beds Available: 14
Percent Occupancy: 86%
Insurance Accepted: Medicaid
Types of Councils: Resident
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

 

14

Facility
26

County
19

MN
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

14

2017
37

2016
30

2015

Medicare Ratings

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

 

Details by Inspection Date

7/19/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/26/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 8/26/2017
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Minimal 4 8/26/2017
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 8/26/2017
 

5/19/2016 Inspection

 
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 6/30/2016
 
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. Widespread : Minimal 5 6/30/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 6/30/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 6/30/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 6/30/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 6/30/2016
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Minimal 4  
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 6/30/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 6/30/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 6/30/2016
 

4/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 5/18/2015
 
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Potential 3 5/18/2015
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 5/21/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/21/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/22/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 5/21/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/22/2015
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Minimal 4 5/20/2015
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 5/31/2015
 

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 84 94.29 65.71
Registered Nurses 0.43 1.08 0.93
Licensed Practical / Vocational Nurses 0.43 0.64 0.68
Certified Nursing Assistants 1.37 2.01 2.53
Total Staff Hours 2.24 3.73 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 0 5 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 88 91 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 94 96
of long-stay residents experiencing one or more falls with major injury 5 3 4
of long-stay residents who have depressive symptoms 7 4 4
of long-stay residents who lose too much weight 3 6 7
of long-stay residents who received an antianxiety or hypnotic medication 24 16 13
of long-stay residents who received an antipsychotic medication 42 21 13
of long-stay residents who self-report moderate to severe pain 11 9 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 4 14 17
of long-stay residents whose need for help with daily activities has increased 3 13 14
of long-stay residents with a catheter inserted and left in their bladder 1 1 2
of long-stay residents with a urinary tract infection 2 2 3
of low risk long-stay residents who lose control of their bowels or bladder 32 52 51
of short-stay residents assessed and appropriately given the pneumococcal vaccine 67 76 84
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 63 10 12
of short-stay residents with pressure ulcers that are new or worsened 0 69 75