BAYSHORE HEALTH CENTER

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

BAYSHORE HEALTH CENTER
1601 ST LOUIS AVENUE
DULUTH, MN 55802
(218) 727-8651

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 153
  • Certified Beds: 160

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Carlton | Cloquet | Two Harbors

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 Bayshore Health Center. 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: 2-100.4%
Total Percent:0.4%
 

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: 11-163.1%
ADL Index Range: 6-103.8%
Total Percent:6.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1622.7%
ADL Index Range: 6-1019.2%
ADL Index Range: 0-57.2%
Total Percent:49.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.8%
ADL Index Range: 6-103.4%
ADL Index Range: 0-58.2%
Total Percent:17.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-102.5%
ADL Index Range: 0-59.4%
Total Percent:11.9%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
2.8%
ADL Index Range: 11-14
- No Signs of depression
3.9%
Total Percent:6.7%
 

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: 0-1
- No Signs of depression
4.8%
Total Percent:4.8%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
2.7%
Total Percent:2.7%
 

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: 0-1
- Less restorative nursing
0.1%
Total Percent:0.1%
 

Rating Details For Bayshore Health Center

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) Hours37 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 10 Minutes2 Hours and 29 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes1 Hour and 56 Minutes
Total Nurse Hours4 Hours and 21 Minutes4 Hours and 26 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 Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%53%
Percent of Long-Stay Residents Who Were Physically Restrained1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%6%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%2%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain12%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%23%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%23%
Percent of Short-Stay Residents Who Have Pressure Sores8%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 03/22/2011.

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: 06/04/2009
  • Correction Date: 07/16/2009
Post Nurse Staffing Information.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
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: 03/22/2011
  • Correction Date: 05/02/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011

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: 06/04/2009
  • Correction Date: 07/16/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/16/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/16/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/16/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/16/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 04/15/2010
  • Correction Date: 05/25/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/16/2009
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: 06/04/2009
  • Correction Date: 07/16/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/16/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 03/22/2011
  • Correction Date: 05/02/2011

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
Denial of Payment for New Admission (DPNA)03/22/2011-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Bayshore Health Center, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/05/2010
  • Correction Date: 10/07/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 08/05/2010
  • Correction Date: 10/07/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 08/05/2010
  • Correction Date: 10/07/2010

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 Bayshore Health Center 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 03/16/2011.

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

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/16/2011
  • Correction Date: 05/02/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/25/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/02/2009
  • Correction Date: 07/16/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/25/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/02/2009
  • Correction Date: 07/16/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/25/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/16/2011
  • Correction Date: 05/02/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/02/2009
  • Correction Date: 07/16/2009
Source: Medicare Nursing Home Compare; Health Facility Complaints and Provider Compliance Division of Minnesota - Retrieved 2011