Abuse.com - BAYSHORE HEALTH CENTER

Abuse.com Nursing Home Profile

Detailed information for BAYSHORE HEALTH CENTER

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

BAYSHORE HEALTH CENTER	As of 01/29/2004
1601 ST LOUIS AVENUE DULUTH, MN 55802 (218) 727-8651	Not located within a Hospital Resident Councils Only 199 Certified Beds
Initial Date of Certification: 01/22/1979 Type of Ownership: For profit - Corporation A Multi-Nursing home (chain) Ownership Date of Last Change of Ownership: 08/01/2002	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

Nursing Home Staffing information comes from reports that the nursing home reports to its state survey agency. It contains the nursing staff hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts the reported information into the number of staff hours per resident per day.

Quality Measures

Quality Measures	Percentage for BAYSHORE HEALTH CENTER	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	11%	16%
Percent of Residents Who Have Moderate to Severe Pain	6%	6%
Percent of High-Risk Residents Who Have Pressure Sores	10%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	1%	3%
Percent of Residents Who Were Physically Restrained	9%	8%
Percent of Residents Who are More Depressed or Anxious	10%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	43%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	2%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	10%	13%
Percent of Residents With a Urinary Tract Infection	6%	8%
Percent of Short-Stay Residents With Delirium	0%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	17%	22%
Percent of Short-Stay Residents With Pressure Sores	22%	21%

Inspection Results

BAYSHORE HEALTH CENTER 1601 ST LOUIS AVENUE DULUTH, MN 55802 (218) 727-8651
Date of this inspection: 01/29/2004 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 11 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
2. 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
3. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Some
4. Make sure that doctors visit residents regularly, as required. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
5. Provide special eating equipment and utensils for each resident who needs them. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
6. 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. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
7. Make sure that residents who have not taken antipsychotic drugs are not given these drugs, unless they are used to treat a problem that is diagnosed and noted in the medical record. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
8. Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
9. Have enough outside airflow. (01/29/2004)	03/08/2004	2 = Minimal harm or potential for actual harm	Few
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
10. Follow all laws and professional standards. (01/29/2004)	03/08/2004	1 = Potential for minimal harm	Many
11. Hire a qualified activities director. (01/29/2004)	03/08/2004	1 = Potential for minimal harm	Many

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	BAYSHORE HEALTH CENTER	State Average in	National Average
Number of Residents	193	42.8	89.2
RN Hours per Resident per Day*	0.45	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.73	0.7	0.8
CNA Hours per Resident per Day*	2.34	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	3.52	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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