General Information: CLAYCO CARE CENTER
Nursing home name CLAYCO CARE CENTER
Address600 FIFTH STREET SOUTHEAST, BOX 129
BARNESVILLE, MN 56514
Phone number (218) 354-2254
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 35
Total number of residents 23
Perc of occupied beds 66
Sprinkler status Yes
Last health survey date 10/04/2012
Fire survey date: 10/03/2012
Ratings Summary: CLAYCO CARE CENTER
Overall rating 1
1
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 1
1
Quality Measures 3
3
Nursing Home Staffing Info: CLAYCO CARE CENTER
National AverageCLAYCO CARE CENTER
Overall staff rating Not Available. 1
1
Registered Nurses only rating Not Available 1
1
Total Number of Residents 88.1 23.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours .77 hours
Registered Nurses Hours per Residents per Day 29.0 hours .25 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .52 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .25 hours
Health Inpections: CLAYCO CARE CENTER
Inspection Results: 10/04/2012
CorrectedCategoryDeficiencySeverity
11/16/2012Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. F
11/16/2012Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
11/16/2012Pharmacy Service DeficienciesEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
11/16/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
11/16/2012Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
11/16/2012Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. E
11/16/2012Resident Rights DeficienciesAllow residents to self-administer drugs if determined safe. D
11/16/2012Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges. C
Inspection Results: 01/13/2012
CorrectedCategoryDeficiencySeverity
07/12/2012Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
03/09/2012Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. E
03/09/2012Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
03/09/2012Administration DeficienciesPost nurse staffing information/data on a daily basis. C
07/12/2012Quality Care DeficienciesHave enough nurses to care for every resident in a way that maximizes the resident's well being. E
03/09/2012Quality Care DeficienciesDevelop policies and procedures for influenza and pneumococcal immunizations. D
03/09/2012Pharmacy Service DeficienciesEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
03/09/2012Quality Care DeficienciesEnsure residents maintain acceptable nutritional status. E
07/03/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
07/12/2012Quality Care DeficienciesEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. E
05/10/2012Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
07/12/2012Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
03/09/2012Quality Care DeficienciesAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
03/09/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. E
03/09/2012Resident Assessment DeficienciesProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. E
07/03/2012Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. F
07/03/2012Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E
03/09/2012Resident Assessment DeficienciesAssure that each residentís assessment is updated at least once every 3 months. D
05/10/2012Resident Assessment DeficienciesReview or revise the resident's care plan after any major change in physical or mental health. E
03/09/2012Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
03/09/2012Environmental DeficienciesProvide housekeeping and maintenance services. E
03/09/2012Quality Care DeficienciesProvide activities to meet the interests and needs of each resident. D
05/10/2012Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. C
05/10/2012Mistreatment Deficiencies1) Hire only people with 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. D
03/09/2012Mistreatment DeficienciesKeep each resident free from physical restraints, unless needed for medical treatment. D
03/09/2012Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. E
Inspection Results: 12/09/2010
CorrectedCategoryDeficiencySeverity
01/18/2011Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. F
01/18/2011Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. F
01/18/2011Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
01/18/2011Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
01/18/2011Quality Care DeficienciesDevelop policies and procedures for influenza and pneumococcal immunizations. E
01/18/2011Pharmacy Service DeficienciesEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
01/18/2011Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
01/18/2011Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
01/18/2011Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
01/18/2011Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. E
01/18/2011Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. D
01/18/2011Mistreatment Deficiencies1) Hire only people with 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. D
01/18/2011Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges. D

Fire Safety Inpections: CLAYCO CARE CENTER
Inspection Results: 10/03/2012
CorrectedCategoryDeficiencySeverity
11/19/2012Miscellaneous DeficienciesOther fire safety features required by fire safety codes. F
11/15/2012Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. F
Inspection Results: 01/12/2012
CorrectedCategoryDeficiencySeverity
01/30/2012Automatic Sprinkler Systems DeficienciesAn approved automatic sprinkler system connected to the fire alarm system. C
01/16/2012Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. F
01/13/2012Smoke Compartmentation and Control DeficienciesWalls that prevent smoke from passing through and would resist fire for at least one hour. E

Resident Complaints: CLAYCO CARE CENTER
Not available

Quality Measures: CLAYCO CARE CENTER
Quality MeasuresNational AverageCLAYCO CARE CENTER
Overall quality rating Not Available 3
3
Long-Stay Residents
Percent of long-stay residents who lose too much weight. 16% 4.5%
Percent of long-stay residents with a urinary tract infection. 16% 20.300000000000001%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 63.5%
Percent of long-stay residents who have depressive symptoms. 16% 12.5%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 97.299999999999997%
Percent of long-stay high-risk residents with pressure ulcers. 19% 5.2999999999999998%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 33.299999999999997%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 14.800000000000001%
Percent of long-stay residents who were physically restrained. 11% 0%
Percent of long-stay residents who self-report moderate to severe pain. 22% 15.9%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 4%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 4.0999999999999996%
Percent of long-stay residents who received an antipsychotic medication. 31% 49.299999999999997%
Short-Stay Residents
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 199%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 199%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 199%
Percent of short-stay residents who self-report moderate to severe pain. 36% 199%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 199%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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