St Marks Living: Data Analysis and Ratings

CMS Five Star Rating(1 out of 5):

 400 - 15TH AVENUE SOUTHWEST AUSTIN, MN 55912

  507-437-4594

Data date: January 01, 2023

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The Most Important Data about St Marks Living

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

There is no indication of abuse occuring at St Marks Living. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (1 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Worsening

Total Nursing Hours Spent Per Resident Per Day: 4.43
(The national average is 3.75 )

Best Nursing Homes in MN

According to our analysis, St Marks Living is ranked #15 out of 15 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near St Marks Living.

What is this page all about?

Below is everything shred of information that we can find about St Marks Living, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

General Data Card

These are the basic data points for the facility.

Data date: January 01, 2023

Address: 400 - 15TH AVENUE SOUTHWEST

AUSTIN, MN 55912

Phone: 507-437-4594

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Ranking: St Marks Living is ranked #3 out of 3 facilities within a 10 mile radius and #15 out of 15 facilities within a 25 mile radius.

Medicare Provider Number: 245369

Participating in Medicare Since: December 01, 1986

No. of Certified Beds: 57

No. of Residents: 33

Occupancy: 57.89 % (as of 01/01/2023 )

Amount fined in recent period: $80,097.50

Complaints filed: 8

Review of St Marks Living Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

Ratings

Overall Rating 1:
Health Inspection Rating 1:
Quality Rating 3:
Staffing Rating 4:

Inspection Scores

Cycle 1 Score (as of June 16, 2022) 236
Cycle 2 Score (as of September 30, 2021) 36
Cycle 3 Score (as of October 07, 2019) 336
Weighted All Cycles Score 186

It has been 6 months since the most recent inspection.

What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

Most Recent Nursing Home Inspections

CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for St Marks Living including health, fire, and inspection control inspections:

Inspection Type Inspection Date
Fire Safety Standard June 14, 2022
Fire Safety Standard September 28, 2021
Fire Safety Standard October 02, 2019
Health Complaint August 25, 2022
Health Complaint July 20, 2022
Health Complaint January 10, 2022
Health Complaint September 30, 2021
Health Complaint June 03, 2021
Health Complaint March 11, 2021
Health Complaint December 02, 2020
Health Complaint November 02, 2020
Health Complaint September 03, 2020
Health Complaint August 19, 2020
Health Standard June 16, 2022
Health Standard September 30, 2021
Health Standard October 07, 2019
Infection Control August 19, 2020
Infection Control April 02, 2020

Owner and Operator Information for St Marks Living

Our database of owners and operators shows all directo owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

ST MARKS LUTHERAN HOME

Owners:

Managers and Directors:

Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of St Marks Living spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.89 1.01 / 0.66
Case Mix 0.28 0.31 / 0.38
Adjusted 1.21 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.55 0.66 / 0.88
Case Mix 0.67 NA / NA
Adjusted 0.61 NA / NA
Certified Nursing Assistants (CNA)
Hours 2.99 2.38 / 2.22
Case Mix 2.14 NA / NA
Adjusted 2.84 NA / NA
Total Licensed Staff
Hours 1.45 1.67 / 1.53
Physical Therapist (PT)
Hours 0.00 0.08 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 4.43 4.05 / 3.75
Case Mix 3.09 2.98 / 3.16
Adjusted 4.53 NA / NA

Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc. State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) 27.4% 20.6%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) 17.8% 13.5%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551) 0.6% 1.4%
Better
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) 1.5% 1.0%
Worse
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 5.7% 13.7%
Better
Percentage of long-stay residents who lose too much weight (qm404) 7.0% 4.7%
Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 61.8% 49.7%
Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 1.7% 2.9%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 6.6% 2.9%
Worse
Percentage of long-stay residents who have depressive symptoms (qm408) 1.8% 4.4%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% 0.1%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 1.7% 4.0%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 97.5% 96.0%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 9.3% 16.6%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 97.9% 88.1%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 0.9% 1.8%
Better
Percentage of long-stay residents whose ability to move independently worsened (qm451) 12.2% 16.5%
Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 2.3% 12.6%
Better
Percentage of high risk long-stay residents with pressure ulcers (qm453) 8.7% 6.8%
Worse
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 57.9% 95.1%
Worse
Percentage of short-stay residents who made improvements in function (qm471) 72.0% 77.1%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 38.3% 77.6%
Worse

St Marks Living Violations, Complaints and Fines

These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.

Amount fined in recent period: $80,097.50, Complaints filed: 8

Deficiency Deficiency Date / Date Corrected
Install emergency lighting that can last at least 1 1/2 hours.
(Fire Safety)
10-02-2019 / 11-11-2019
Have simulated fire drills held at unexpected times.
(Fire Safety)
10-02-2019 / 11-11-2019
Allow residents to self-administer drugs if determined clinically appropriate.
(Health)
10-07-2019 / 11-18-2019
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
(Health)
10-07-2019 / 01-07-2020
Honor the resident's right to organize and participate in resident/family groups in the facility.
(Health)
10-07-2019 / 11-18-2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
(Health)
10-07-2019 / 11-18-2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
(Health)
10-07-2019 / 01-07-2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
(Health)
10-07-2019 / 11-18-2019
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
(Health)
10-07-2019 / 01-07-2020
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
(Health)
10-07-2019 / 11-18-2019
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
(Health)
10-07-2019 / 11-18-2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
(Health)
10-07-2019 / 11-18-2019
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
(Health)
10-07-2019 / 11-18-2019
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
(Health)
10-07-2019 / 11-18-2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
(Health)
10-07-2019 / 11-18-2019
Ensure each resident?s drug regimen must be free from unnecessary drugs.
(Health)
10-07-2019 / 11-18-2019
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
(Health)
10-07-2019 / 11-18-2019
Ensure that residents are free from significant medication errors.
(Health)
10-07-2019 / 11-18-2019
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
(Health)
10-07-2019 / 11-18-2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
(Health)
10-07-2019 / 11-18-2019
Provide and implement an infection prevention and control program.
(Health)
10-07-2019 / 01-07-2020
Implement a program that monitors antibiotic use.
(Health)
10-07-2019 / 01-07-2020
Include a process for Emergency Preparedness collaboration.
(Fire Safety)
10-07-2019 / 11-18-2019
List the names and contact information of those in the facility.
(Fire Safety)
10-07-2019 / 11-18-2019
Provide emergency officials' contact information.
(Fire Safety)
10-07-2019 / 11-18-2019
Provide primary/alternate means for communication.
(Fire Safety)
10-07-2019 / 11-18-2019
Provide a means of sharing information on occupancy/needs.
(Fire Safety)
10-07-2019 / 11-18-2019
Provide family notifications of emergency plan.
(Fire Safety)
10-07-2019 / 11-18-2019
Provide and implement an infection prevention and control program.
(Health)
08-19-2020 / 09-11-2020
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
(Health)
08-19-2020 / 09-11-2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
(Health)
09-03-2020 / 10-09-2020
Provide safe and appropriate respiratory care for a resident when needed.
(Health)
09-03-2020 / 10-09-2020
Provide or arrange emergency care by a doctor 24 hours a day.
(Health)
09-03-2020 / 10-09-2020
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
(Health)
09-03-2020 / 10-09-2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
(Health)
11-02-2020 / 12-09-2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
(Health)
12-02-2020 / 12-09-2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
(Health)
03-11-2021 / 04-09-2021
Respond appropriately to all alleged violations.
(Health)
03-11-2021 / 04-09-2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
(Health)
06-03-2021 / 08-03-2021
Have exits that are accessible at all times.
(Fire Safety)
09-28-2021 / 11-03-2021
Install proper backup exit lighting.
(Fire Safety)
09-28-2021 / 11-02-2021
Provide properly protected cooking facilities.
(Fire Safety)
09-28-2021 / 11-08-2021
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
09-28-2021 / 11-08-2021
Properly select, install, inspect, or maintain portable fire extinguishes.
(Fire Safety)
09-28-2021 / 11-04-2021
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
09-28-2021 / 11-03-2021
Ensure proper usage of power strips and extension cords.
(Fire Safety)
09-28-2021 / 11-03-2021
Keep residents' personal and medical records private and confidential.
(Health)
09-30-2021 / 11-15-2021
Ensure each resident?s drug regimen must be free from unnecessary drugs.
(Health)
09-30-2021 / 11-15-2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
(Health)
09-30-2021 / 11-15-2021
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
(Health)
09-30-2021 / 11-15-2021
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
(Health)
09-30-2021 / 11-15-2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
(Health)
01-10-2022 / 01-28-2022
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
(Fire Safety)
06-14-2022 / 07-11-2022
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
06-14-2022 / 06-20-2022
Properly select, install, inspect, or maintain portable fire extinguishes.
(Fire Safety)
06-14-2022 / 07-22-2022
Install smoke barrier doors that can resist smoke for at least 20 minutes.
(Fire Safety)
06-14-2022 / 07-14-2022
Have properly installed electrical wiring and gas equipment.
(Fire Safety)
06-14-2022 / 07-22-2022
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
(Fire Safety)
06-14-2022 / 07-08-2022
Have simulated fire drills held at unexpected times.
(Fire Safety)
06-14-2022 / 07-29-2022
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
(Fire Safety)
06-14-2022 / 07-29-2022
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
(Fire Safety)
06-14-2022 / 07-22-2022
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
06-14-2022 / 07-22-2022
Ensure proper usage of power strips and extension cords.
(Fire Safety)
06-14-2022 / 07-22-2022
Have proper medical gas storage and administration areas.
(Fire Safety)
06-14-2022 / 06-21-2022
Assess the resident when there is a significant change in condition
(Health)
06-16-2022 / 08-17-2022
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
(Health)
06-16-2022 / 07-13-2022
Provide safe, appropriate pain management for a resident who requires such services.
(Health)
06-16-2022 / 07-13-2022
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
(Health)
06-16-2022 / 08-17-2022
Provide or obtain dental services for each resident.
(Health)
06-16-2022 / 07-13-2022
Implement emergency and standby power systems.
(Fire Safety)
06-16-2022 / 07-13-2022
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives.
(Health)
07-20-2022 / 08-12-2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
(Health)
08-25-2022 / 09-02-2022

Hospitals Near St Marks Living

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near St Marks Living.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN
404 WEST FOUNTAIN STREET
ALBERT LEA, MN 56007
4

Medical Professionals Associated with St Marks Living

These are the doctors who are affiliated with St Marks Living. The data is from the most recent period. Historical data is not available.

  • STEVEN WIESE ( FAMILY PRACTICE - MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION )
  • ERIC TANGALOS ( GERIATRIC MEDICINE - MAYO CLINIC )

Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for St Marks Living

Five different rating results plus detailed inspection numbers and quality measures for St Marks Living.

Covid Infections at St Marks Living

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for St Marks Living

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for St Marks Living

A list of all of the registered owners for St Marks Living. This includes direct and indirect owners and managers.

Noted Deficiencies for St Marks Living

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does St Marks Living compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in AUSTIN, MN

Homes that you should consider. A list ranking the best skilled nursing facilities in AUSTIN based on their weighted inspection score as of January 01, 2023.

Worst Nursing Homes in AUSTIN, MN

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in AUSTIN based on their weighted inspection score as of January 01, 2023.