MADISON LUTHERAN HOME

The information listed below provides an in-depth look into the type and quality of care offered at Madison Lutheran Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MADISON LUTHERAN HOME
900 SECOND AVENUE
MADISON, MN 56256
(320) 598-7536

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 80
  • Certified Beds: 87

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Dawson | Appleton | Canby

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Madison Lutheran Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-105.7%
Total Percent:5.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.9%
ADL Index Range: 6-108.8%
ADL Index Range: 0-520.8%
Total Percent:48.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-511.3%
Total Percent:11.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1621.4%
ADL Index Range: 0-59.4%
Total Percent:30.8%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
3.8%
Total Percent:3.8%
 

Rating Details For Madison Lutheran Home

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours33 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours41 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 38 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 15 Minutes1 Hour and 53 Minutes
Total Nurse Hours3 Hours and 52 Minutes4 Hours and 21 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Minnesota are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMinnesota Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season83%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination89%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%14%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%23%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder56%53%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season73%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%23%
Percent of Short-Stay Residents Who Have Pressure Sores10%9%
Percent of Short-Stay Residents Who Have Delirium1%3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/27/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/13/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010

Mistreatment

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.
  • Inspection Date: 09/26/2008
  • Correction Date: 10/23/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 09/26/2008
  • Correction Date: 10/23/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008

Pharmacy Service

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.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008
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.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/12/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/15/2009
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.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/07/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/26/2008
  • Correction Date: 10/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/15/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/26/2008
  • Correction Date: 10/23/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 09/26/2008
  • Correction Date: 11/01/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/14/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010
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.
  • Inspection Date: 07/27/2010
  • Correction Date: 10/18/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/26/2008$975

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Madison Lutheran Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/21/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/24/2008
  • Correction Date: 09/26/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/21/2009
  • Correction Date: 10/31/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/21/2009
  • Correction Date: 10/31/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/21/2010
  • Correction Date: 08/03/2010
Source: Medicare Nursing Home Compare; Health Facility Complaints and Provider Compliance Division of Minnesota - Retrieved 2011