CHAPTER 11

THE MINIMUM DATA SET, THE CASPER REPORT & QUALITY INDICATORS

THE RESIDENT ASSESSMENT INSTRUMENT (RIA)

THE MINIMUM DATA SET (MDS)

PURPOSE:

THE MDS WAS CREATED TO PROVIDE A METHOD OF ASSESSING PATIENT’S NEEDS IN A STANDARD FORMAT.

USES:

  1. The M.D.S. tracks over 400 pieces of data on every patient in a nursing home.
  1. The M.D.S. is done on every patient within 14 days of their admission, it is updated quarterly and any time their

Condition changes

  1. The answers in the M.D.S. may “trigger” further assessment when these answers indicate that the resident is at increased risk of developing problems
  1. This structured assessment of high risk areas is used to help the facility build a patient care plan
  1. Once the care plan is implemented the patient must be reviewed again to make sure that the patient responding to the plan (outcome)
  1. The data from the M.D.S. is transmitted to the government to allow data to be collected for all residents in the facility. The facility can then be compared to other facility’s in the region, the state and the country. This data is now used to identify residents that will be reviewed during the survey process. (see the OSCAR report)
  1. 108 of the M.D.S. data fields are used to assign the resident a rug’s score (resource utilization group) which is used to determine the reimbursement rate from the medicare program.

8. Data from the M.D.S. is also used to determine the Quality Indicators which are

published by Medicare to allow the public to compare nursing facilities

9. For more information on the MDS see

DEFINITIONS:

R.A.I. – RESIDENT ASSESSMENT INSTRUMENT

M.D.S. – MINIMUM DATA SET

C.A.A. – CARE AREA ASSESSMENT

RUGS – RESOURCE UTILIZATION GROUPS

CASPER – CERTIFICATION AND SURVEY ENHANCED REPORTING

RESIDENT ASSESSMENT INSTRUMENT

MINIMUM DATA SET (MDS)

CONTAINS OVER 400DATA ELEMENTS

DIVIDED INTO AREAS OF PHYSICAL, FUNCTIONAL AND PSYCHOSOCIAL STATUS

TRIGGERS

SPECIFIC RESPONSES TO M.D.S. ITEMS THAT

IDENTIFY RESIDENTS THAT ARE AT

RISK OF DEVELOPING PROBLEMS

CARE AREA ASSESSMENT (CAA)

A STRUCTURED FRAMEWORK FOR ASSESSING

“TRIGGERED” AREAS OF CONCERN AND

BUILDING AN INDIVIDUAL CARE PLAN

COMPREHENSIVE ASSESSMENT

THE DEVELOPMENT OF A PATIENT SPECIFIC CARE PLAN

CARE PLAN IS IMPLEMENTED

EVALUATE EFFECTIVENESS OF CARE PLAN

(i.e. PATIENT OUTCOMES)

RESOURCE UTILIZATION GROUPS (RUGS)

PATIENT IS ASSIGNED TO ONE OF 55 PAYMENT CATEGORIES BASED

ON 108 DATA FIELDS FROM THE PATIENT’S M.D.S.

(RUGS increased from 44 to 53 categories 1/1/2006)

(ReimbursementsRange from $170/day to $650/day depending on the RUG score)

American Society of Consultant Pharmacists
CMS OSCAR Data
Report Date: January 6, 2010
Region / Psychoactive / Antipsychotic / Anti-anxiety / Antidepressant / Hypnotic / Total / Total
Code / State / Meds / Meds / Meds / Meds / Meds / Residents / Facilities
United States / 65.10% / 25.20% / 20.10% / 48.10% / 7.50% / 1,402,485 / 15,720
1 / CT / 68.20% / 0.3 / 0.2 / 50.10% / 7.50% / 26,114 / 239
MA / 71.40% / 28.30% / 19.80% / 55.60% / 3.40% / 43,282 / 429
ME / 71.30% / 24.50% / 0.2 / 0.6 / 4.50% / 6,458 / 109
NH / 70.40% / 28.20% / 20.90% / 54.50% / 0.1 / 6,941 / 80
RI / 0.7 / 23.40% / 14.40% / 56.60% / 4.20% / 8,059 / 86
VT / 69.20% / 26.80% / 16.90% / 53.40% / 5.70% / 2,987 / 40
2 / NJ / 56.90% / 22.10% / 17.20% / 39.10% / 0.1 / 45,782 / 359
NY / 0.6 / 23.50% / 0.1 / 39.10% / 4.80% / 109,910 / 640
PR / 0.4 / 4.90% / 6.80% / 10.70% / 23.30% / 103 / 7
VI / 21.40% / 10.70% / 7.10% / 7.10% / 3.60% / 28 / 1
3 / DC / 43.10% / 20.20% / 9.90% / 24.20% / 4.20% / 2,531 / 19
DE / 61.10% / 23.10% / 21.80% / 45.20% / 6.20% / 4,264 / 46
MD / 57.40% / 20.40% / 14.50% / 42.90% / 5.90% / 25,028 / 231
PA / 66.60% / 24.10% / 21.20% / 51.80% / 5.70% / 80,608 / 713
VA / 63.70% / 23.90% / 22.30% / 47.70% / 8.30% / 28,347 / 281
WV / 0.7 / 23.90% / 22.50% / 50.50% / 4.20% / 9,639 / 128
4 / AL / 70.80% / 27.60% / 24.70% / 0.5 / 7.70% / 23,251 / 231
FL / 66.60% / 23.80% / 26.40% / 48.70% / 13.30% / 71,679 / 676(6)
GA / 69.40% / 30.30% / 21.80% / 51.50% / 8.60% / 35,022 / 360
KY / 71.10% / 26.30% / 27.80% / 53.80% / 0.1 / 23,361 / 287
MS / 68.40% / 28.80% / 18.90% / 50.50% / 9.80% / 16,330 / 202
NC / 67.40% / 22.80% / 26.10% / 51.50% / 10.90% / 37,570 / 424
SC / 63.60% / 22.60% / 23.20% / 46.30% / 8.60% / 17,210 / 178
TN / 73.30% / 29.90% / 28.30% / 57.20% / 10.30% / 32,109 / 320
5 / IL / 66.80% / 32.80% / 20.50% / 44.30% / 6.60% / 75,752 / 794(4)
IN / 65.90% / 23.60% / 0.2 / 50.50% / 7.10% / 39,099 / 503
MI / 61.90% / 17.20% / 17.80% / 47.70% / 3.40% / 40,237 / 429
MN / 63.20% / 21.40% / 13.90% / 0.5 / 0.0 / 30,025 / 385
OH / 68.90% / 26.60% / 23.50% / 52.50% / 7.60% / 80,034 / 962(3)
WI / 64.80% / 19.80% / 19.30% / 51.20% / 3.50% / 31,565 / 391

Nursing Home Compare

Detailed Information About Your Selected Nursing Home

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BERNARDLSAMSONNURSINGCENTER

What is this?
Contact Information
255 59TH STN
SAINT PETERSBURG, FL33710
(727) 345-2775
Mapping & Directions /
  • Initial Date of Certification:07/01/1985
  • Type of Ownership:Non profit - Corporation
  • Participates in Medicare
  • Participates in Medicaid
/
  • 180 Certified Beds
  • Not a Continuing Care Retirement Community
  • Resident Councils Only
  • Not a Multi-Nursing home (chain) Ownership

View all Nursing Home Characteristics
Click on the links below to expand and view information about Health Inspections, Nursing Home Staffing, Quality Measures, and Fire Safety Inspections.
Show All | Hide All
/ Health Inspections
Lists the health requirements that the nursing home failed to meet. /
1 out of 5 stars
Date of last standard health inspection: / 05/14/2010
View Previous Inspection Results
Quality Indicator Survey / Yes
Dates of Complaint Investigations: / 09/01/2009 - 11/30/2010
Total number of Health Deficiencies for this nursing home: / 7
Average number of Health Deficiencies in Florida / 8
Average number of Health Deficiencies in the United States: / 8
Range of Health Deficiencies in Florida / 0 - 31
How to Read a Health / Fire Safety Deficiency Chart
Quality Care Deficiencies
View Previous Inspection Results
Inspectors determined that the nursing home failed to: / Inspection Date / Date of Correction / Level of Harm
(Least->Most) / Residents Affected
(Few->Some->Many)
1. Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. / 11/20/2009 / 12/10/2009 / 4 = Immediate jeopardy to resident health or safety
/ Some
2. Make sure that each resident's nutritional needs were met. / 05/14/2010 / 06/05/2010 / 2 = Minimal harm or potential for actual harm
/ Few
Nutrition and Dietary Deficiencies
View Previous Inspection Results
Inspectors determined that the nursing home failed to: / Inspection Date / Date of Correction / Level of Harm
(Least->Most) / Residents Affected
(Few->Some->Many)
3. Store, cook, and give out food in a safe and clean way. / 05/14/2010 / 06/05/2010 / 2 = Minimal harm or potential for actual harm
/ Few
Environmental Deficiencies
View Previous Inspection Results
Inspectors determined that the nursing home failed to: / Inspection Date / Date of Correction / Level of Harm
(Least->Most) / Residents Affected
(Few->Some->Many)
4. Make sure that the nursing home area is free of dangers that cause accidents. / 11/20/2009 / 12/10/2009 / 4 = Immediate jeopardy to resident health or safety
/ Some
5. Keep all essential equipment working safely. / 05/14/2010 / 06/05/2010 / 2 = Minimal harm or potential for actual harm
/ Few
Administration Deficiencies
View Previous Inspection Results
Inspectors determined that the nursing home failed to: / Inspection Date / Date of Correction / Level of Harm
(Least->Most) / Residents Affected
(Few->Some->Many)
6. Be administered in a way that leads to the highest possible level of well being for each resident. / 11/20/2009 / 12/10/2009 / 4 = Immediate jeopardy to resident health or safety
/ Some
7. Make sure that nurse aides show they have the skills to be able to care for residents. / 11/20/2009 / 12/10/2009 / 4 = Immediate jeopardy to resident health or safety
/ Some
/ Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day. /
4 out of 5 stars
National Average / Average in
Florida / BERNARDLSAMSONNURSINGCENTER
RN Staff Only1 / Not Available / Not Available /
3 out of 5 stars
Total Number of Residents / 93.9 / 111.2 / 171
Total Number of Licensed Nurse Staff Hours per Resident per Day / 1 hour
24 minutes / 1 hour
36 minutes / 1 hour
34 minutes
RN Hours per Resident per Day / 36 minutes / 36 minutes / 32 minutes
LPN/LVN Hours per Resident per Day / 48 minutes / 1 hour / 1 hour
1 minute
CNA Hours per Resident per Day / 2 hours
24 minutes / 3 hours
6 minutes / 2 hours
54 minutes
How to Read a Staffing Chart | About Staff Roles
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
/ Quality Measures
Information comes from data that the nursing homes regularly report on all residents. It includes aspects of residents' health, physical functioning, mental status and general well being. /
1 out of 5 stars
Quality Measures / National Average / Average in
Florida / BERNARDLSAMSONNURSINGCENTER
Long-Stay Residents / Read why Quality Measures are important to you
NOTE: For the following measures, higher percentages are better.
Percent of long-stay residents given influenza vaccination during the flu season / 92% / 87% / 94%
Percent of long-stay residents who were assessed and given pneumococcal vaccination / 90% / 87% / 98%
NOTE: For the following measures, lower percentages are better.
Percent of long-stay residents whose need for help with daily activities has increased / 14% / 12% / 18%
Percent of long-stay residents who have moderate to severe pain / 3% / 2% / 1%
Percent of high-risk long-stay residents who have pressure sores / 11% / 12% / 17%
Percent of low-risk long-stay residents who have pressure sores / 2% / 2% / 2%
Percent of long-stay residents who were physically restrained / 3% / 3% / 2%
Percent of long-stay residents who are more depressed or anxious / 14% / 10% / 19%
Percent of low-risk long-stay residents who lose control of their bowels or bladder / 51% / 54% / 55%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder / 5% / 5% / 6%
Percent of long-stay residents who spend most of their time in bed or in a chair / 4% / 4% / 4%
Percent of long-stay residents whose ability to move about in and around their room got worse / 11% / 9% / 18%
Percent of long-stay residents who had a urinary tract infection / 9% / 11% / 16%
Percent of long-stay residents who lose too much weight / 8% / 8% / 6%
Short-Stay Residents / Read why Quality Measures are important to you
NOTE: For the following measures, higher percentages are better.
Percent of short-stay residents given influenza vaccination during the flu season / 85% / 80% / 77%
Percent of short-stay residents who were assessed and given pneumococcal vaccination / 84% / 81% / 87%
NOTE: For the following measures, lower percentages are better.
Percent of short-stay residents who have delirium / 1% / 1% / 0%
Percent of short-stay residents who had moderate to severe pain / 19% / 17% / 18%
Percent of short-stay residents who have pressure sores / 12% / 14% / 19%

11.1