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St Gertrudes Health & Rehabilitation Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
3 Penalties in last 3 years
2 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Jan 15, 2026 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D |
| — | Jan 15, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D |
| — | Jan 15, 2026 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
| — | Jan 15, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| — | Jan 15, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
1.3 RN Hours / Resident / Day
4.3 Total Nurse Hours / Resident / Day
24.1% RN Turnover Rate
2.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
92.5 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST BENEDICTINE HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL BENEDICTINE HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL CARLEY, GERALD
CORPORATE DIRECTOR BAUER, MITCHELL
CORPORATE DIRECTOR BOWE, TIA
CORPORATE DIRECTOR CHRISTENSEN, ANDREW
CORPORATE DIRECTOR DELMONTE, KATHLEEN
CORPORATE DIRECTOR DUEHR, ELIZABETH
CORPORATE DIRECTOR HENNEN, LEANDER
CORPORATE DIRECTOR HOFER, KATHLEEN
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Feb 12, 2024 | Fine | $14,742 |
| Dec 14, 2023 | Fine | $14,518 |
| Dec 14, 2023 | Payment Denial | $0 |
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