ST. MARYS HOME

The information listed below provides an in-depth look into the type and quality of care offered at St. Marys 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

ST. MARYS HOME
1925 NORFOLK AVENUE
SAINT PAUL, MN 55116
(651) 696-8400

Nursing Home Ratings

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

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

  • Residents: 76
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through November 2010. During this period, the most common type of service provided was "Reduced Physical Function". 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 St. Marys 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-108.7%
Total Percent:8.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-533.3%
Total Percent:33.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1018.8%
Total Percent:18.8%
 

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: 2-5
- No Signs of depression
4.3%
Total Percent:4.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
20.3%
ADL Index Range: 2-5
- Less restorative nursing
14.5%
Total Percent:34.8%
 

Rating Details For St. Marys 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) Hours56 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours57 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 36 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 53 Minutes1 Hour and 36 Minutes
Total Nurse Hours4 Hours and 29 Minutes3 Hours and 57 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 Season79%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%2%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%23%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder12%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder66%53%
Percent of Long-Stay Residents Who Lose Too Much Weight2%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination60%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season43%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%23%
Percent of Short-Stay Residents Who Have Pressure Sores5%9%

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 07/22/2010.

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

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008

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: 07/22/2010
  • Correction Date: 08/31/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/31/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
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: 08/06/2009
  • Correction Date: 09/04/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
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: 06/19/2008
  • Correction Date: 07/29/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/31/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 07/22/2010
  • Correction Date: 08/17/2010

Resident Rights

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.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. Marys Home, as well as complaints by residents or their family in the previous three years.

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
Formal ComplaintsDegree of HarmResidents Affected

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 05/08/2008
  • Correction Date: 06/13/2008

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 St. Marys 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 07/22/2010.

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: 06/23/2008
  • Correction Date: 07/29/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/04/2009
  • Correction Date: 08/14/2009

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 06/23/2008
  • Correction Date: 07/29/2008
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/04/2009
  • Correction Date: 08/14/2009
Source: Medicare Nursing Home Compare; Health Facility Complaints and Provider Compliance Division of Minnesota - Retrieved 2011