General Information: BENEDICTINE LIVING COMMUNITY OF SPOONER
Nursing home name BENEDICTINE LIVING COMMUNITY OF SPOONER
Address510 FIRST ST
SPOONER, WI 54801
Phone number (715) 635-1412
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 75
Total number of residents 69
Perc of occupied beds 92
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints3
Number of Fines3
Total Amount of Fines$40160
Total Number of Penalties1
Total Number of Penalties4
Ratings Summary: BENEDICTINE LIVING COMMUNITY OF SPOONER
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 4
4
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: BENEDICTINE LIVING COMMUNITY OF SPOONER
National AverageWisconsin AverageBENEDICTINE LIVING COMMUNITY OF SPOONER
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 69
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.16 hours 3.5 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.55 hours 1.14 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.0 hours 0.76 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.55 hours 0.39 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.61 hours 2.35 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.03 hours
Health Survey: BENEDICTINE LIVING COMMUNITY OF SPOONER
Heath Survey Summary on 2014-04-08
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2013-03-04
Total Number of Health Deficiencies 17
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2012-01-25
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: BENEDICTINE LIVING COMMUNITY OF SPOONER
Inspection Results: 04/08/2014
Corrected Deficiency Scope and Severity
Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated/Minimal harm or potential for actual harm
Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
Ensure 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. Isolated/Minimal harm or potential for actual harm
Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 03/04/2013
Corrected Deficiency Scope and Severity
04/13/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
04/13/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
04/13/2013 Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated/Minimal harm or potential for actual harm
04/13/2013 Keep residents' personal and medical records private and confidential. Pattern/Minimal harm or potential for actual harm
04/13/2013 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
04/13/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread /Minimal harm or potential for actual harm
04/13/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
04/13/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Widespread /Minimal harm or potential for actual harm
04/13/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
04/13/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
04/13/2013 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
04/13/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
04/13/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
04/13/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
04/13/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
04/13/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
04/13/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
Inspection Results: 01/25/2012
Corrected Deficiency Scope and Severity
05/04/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
04/10/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
04/10/2012 Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
04/10/2012 1) 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. Isolated/Minimal harm or potential for actual harm
04/10/2012 Review or revise the resident's care plan after any major change in physical or mental health. Isolated/Minimal harm or potential for actual harm
04/10/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
05/04/2012 Ensure 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. Isolated/Minimal harm or potential for actual harm
04/10/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
04/10/2012 Develop policies and procedures for influenza and pneumococcal immunizations. Pattern/Minimal harm or potential for actual harm
04/10/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
05/04/2012 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
04/10/2012 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread /Minimal harm or potential for actual harm

Fire Safety Survey: BENEDICTINE LIVING COMMUNITY OF SPOONER
Fire Safety Survey Summary on 2014-04-03
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2013-03-12
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2012-02-01
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: BENEDICTINE LIVING COMMUNITY OF SPOONER
Fire Safety Survey Results: 04/03/2014
Corrected Deficiency Severity
Signs that state that exit doors are to be kept closed. Pattern/Minimal harm or potential for actual harm
Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
Restrictions on the use of flammable curtains. Pattern/Minimal harm or potential for actual harm
Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/12/2013
Corrected Deficiency Severity
04/13/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
Fire Safety Survey Results: 02/01/2012
Corrected Deficiency Severity
03/10/2012 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Isolated/Minimal harm or potential for actual harm
03/10/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
03/05/2012 An approved installation, maintenance and testing program for fire alarm systems. Pattern/Minimal harm or potential for actual harm
02/25/2012 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm

Resident Complaints: BENEDICTINE LIVING COMMUNITY OF SPOONER
Date Complaint Substantiated: 09/25/2012
CorrectedCategoryDeficiencySeverity
10/25/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D

Quality Measures: BENEDICTINE LIVING COMMUNITY OF SPOONER
Quality Measures National Average Wisconsin Average BENEDICTINE LIVING COMMUNITY OF SPOONER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.4% 17.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.0% 3.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 4.3% 2.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.0% 9.8%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 56.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 1.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% 2.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.8% 2.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 1.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.4% 94.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 98.2% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 18.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 17.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.6% 92.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 91.2% 90.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.5% 1.2%

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