General Information: BENEDICTINE MANOR OF LACROSSE
Nursing home name BENEDICTINE MANOR OF LACROSSE
Address2902 E AVENUE SOUTH
LA CROSSE, WI 54601
Phone number (608) 788-9870
Located within a hospital No
Type of ownership Non 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 80
Total number of residents 75
Perc of occupied beds 94
Sprinkler status Yes
Last health survey date 01/17/2013
Fire survey date: 01/23/2013
Ratings Summary: BENEDICTINE MANOR OF LACROSSE
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: BENEDICTINE MANOR OF LACROSSE
National AverageBENEDICTINE MANOR OF LACROSSE
Overall staff rating Not Available. 3
3
Registered Nurses only rating Not Available 5
5
Total Number of Residents 88.1 75.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.36 hours
Registered Nurses Hours per Residents per Day 29.0 hours .95 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .40 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .95 hours
Health Inpections: BENEDICTINE MANOR OF LACROSSE
Inspection Results: 01/17/2013
CorrectedCategoryDeficiencySeverity
02/17/2013Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E
02/17/2013Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
02/17/2013Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
02/17/2013Administration DeficienciesPost nurse staffing information/data on a daily basis. C
02/17/2013Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
02/17/2013Quality 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
02/17/2013Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
02/17/2013Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
02/17/2013Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. E
02/17/2013Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
02/17/2013Resident Assessment DeficienciesAllow residents the right to participate in the planning or revision of care and treatment. D
Inspection Results: 10/26/2011
CorrectedCategoryDeficiencySeverity
11/14/2011Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
11/14/2011Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
11/14/2011Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
11/14/2011Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
11/14/2011Quality Care DeficienciesDevelop policies and procedures for influenza and pneumococcal immunizations. D
Inspection Results: 10/05/2010
CorrectedCategoryDeficiencySeverity
11/04/2010Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D

Fire Safety Inpections: BENEDICTINE MANOR OF LACROSSE
Inspection Results: 01/23/2013
CorrectedCategoryDeficiencySeverity
02/15/2013Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. C
02/01/2013Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. C
02/15/2013Building Construction DeficienciesApproved construction type or materials. D

Resident Complaints: BENEDICTINE MANOR OF LACROSSE
Date Complaint Substantiated: 05/05/2010
CorrectedCategoryDeficiencySeverity
05/26/2010Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
05/26/2010Resident Rights DeficienciesEnsure residents have the right to have a choice over activities G
05/26/2010Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention D
05/26/2010Mistreatment Deficiencies1) Hire only people with no legal history of abusing D
Date Complaint Substantiated: 02/17/2010
CorrectedCategoryDeficiencySeverity
05/05/2010Quality Care DeficienciesGive each resident enough fluids to keep them healthy and prevent dehydration. D
05/05/2010Administration DeficienciesKeep accurate E
05/26/2010Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. J
05/05/2010Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs E
05/05/2010Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. E
05/05/2010Resident Rights DeficienciesTry to resolve each resident's complaints quickly. D
05/26/2010Resident Rights DeficienciesImmediately tell the resident J

Quality Measures: BENEDICTINE MANOR OF LACROSSE
Quality MeasuresNational AverageBENEDICTINE MANOR OF LACROSSE
Overall quality rating Not Available 3
3
Long-Stay Residents
Percent of long-stay residents with a urinary tract infection. 16% 5.5%
Percent of long-stay high-risk residents with pressure ulcers. 19% 6.2000000000000002%
Percent of long-stay residents who have depressive symptoms. 16% 7.9000000000000004%
Percent of long-stay residents who received an antipsychotic medication. 31% 11%
Percent of long-stay residents who self-report moderate to severe pain. 22% 22.699999999999999%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 17.399999999999999%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 40%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 100%
Percent of long-stay residents who lose too much weight. 16% 7.0999999999999996%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 7.4000000000000004%
Percent of long-stay residents who were physically restrained. 11% 0%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 2.7000000000000002%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 100%
Short-Stay Residents
Percent of short-stay residents who newly received an antipsychotic medication. 27% 0.59999999999999998%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 96.200000000000003%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 97.099999999999994%
Percent of short-stay residents who self-report moderate to severe pain. 36% 27.5%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.6000000000000001%
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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