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St Marys Home For The Aged
1635 S 21ST STREET
Manitowoc, WI 54220
(920) 684-7171
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 84 |
| Number of Residents: | 81 |
| Percent of Occupied Beds: | 96% |
| Sprinkler Status: | Partially Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Church related |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | Yes |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080421 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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 harm or potential for actual harm | 20080426 |
| 20081110 | Health | Nutrition and Dietary Deficiencies | Use properly trained paid feeding assistants, provide licensed nursing supervision of the feeding assistants, or properly monitor the feeding of its residents. | Pattern | Immediate jeopardy to resident health or safety | 20081112 |
| 20081110 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Isolated | Minimal harm or potential for actual harm | 20081112 |
| 20090707 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20090724 |
| 20090707 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20090724 |
| 20090707 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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 harm or potential for actual harm | 20090724 |
| 20090707 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20090724 |
| 20090707 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20090724 |
| 20090804 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20090817 |
| 20091020 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Immediate jeopardy to resident health or safety | 20091102 |
| 20091020 | Health | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Pattern | Potential for minimal harm | 20091102 |
| 20091020 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Actual harm | 20091102 |
| 20091020 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm | 20091102 |
| 20100115 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20100202 |
| 20100115 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Actual harm | 20100202 |
| 20100503 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100507 |
| 20100503 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100507 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 95 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 9 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 7 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 26 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 51 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 8 | |
| Percent of long-stay residents who had a urinary tract infection: | 11 | |
| Percent of long-stay residents who lose too much weight: | 4 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 93 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 31 | |
| Percent of short-stay residents who have pressure sores: | 9 | |
| # of Residents: | 81 |
| # RN Hours per Resident: | 0.86 |
| # LPN Hours per Resident: | 0.52 |
| # CNA Hours per Resident: | 3.15 |
| Total Staff Hours per Resident: | 1.38 |
