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ADIRONDACK MEDICAL CENTER MERCY

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ADIRONDACK MEDICAL CENTER MERCY VS
All other Nursing Homes USA
General
City TUPPER LAKE   vs 0% Nursing Homes USA have TUPPER LAKE
State attribute explanation NY   vs 4.1% Nursing Homes USA have NY
Street 114 WAWBEEK AVE  
Zip Code 12986  
Phone 5183593355  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(2.31 lower than average)
vs
3.31

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
60  (48.94 lower than average)
vs
108.94

Total Number of Residents
54  (37.25 lower than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 4/26/2012  
Fire Survey Date 4/26/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? Yes  vs 6.4% Nursing Homes USA have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
54  (37.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.81  (0.04 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.44  (0.4 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.25  (0.34 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/12/2011
date Of Correction: 03/18/2011 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 04/26/2012
date Of Correction: 06/22/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/12/2011
date Of Correction: 04/14/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 10/01/2009
date Of Correction: 11/10/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/26/2012
date Of Correction: 06/22/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
7.7 % (25.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
9.7 % (6.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9.7 % (2.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.5 % (7.33 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 % (12.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
9.1 % (4.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.5 % (23.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
31 % (5.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.2 % (12.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.9 % (10.96 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (29.3 % higher than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
11.4 % (4.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.8 % (8.59 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
9.3 % (14.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
13.7 % (0.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 8.6:1 % 
Percent of long-stay residents who lose too much weight
9.1 % (0.6 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.2 % (17.18 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 % (8.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
8.4 % (1.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
9 % (10.86 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
9.5 % (1.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
31.1 % (6.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.6 % (16.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.6 % (20.85 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
32.1 % (14.76 % higher than average)
vs
17.34 %



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