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DONAHOE MANOR

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DONAHOE MANOR VS
All other Nursing Homes USA
General
City Bedford  vs 0.1% Nursing Homes USA have Bedford
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 136 DONAHOE MANOR ROAD  
Zip Code 15522  
Phone 8146239075  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(1.17 higher than average)
vs
2.83

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

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
72  (36.94 lower than average)
vs
108.94

Total Number of Residents
64  (27.25 lower than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 12/14/2011  
Fire Survey Date 12/14/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't 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 RESIDENT   vs 66% Nursing Homes USA have RESIDENT
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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
64  (27.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.07  (0.3 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.62  (0.22 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.69  (0.1 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 lower than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 03/16/2011
date Of Correction: 04/26/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/16/2011
date Of Correction: 04/26/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 03/16/2011
date Of Correction: 04/26/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/19/2011
date Of Correction: 05/23/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 03/16/2011
date Of Correction: 04/26/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
7.1 % (17.99 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (32.05 % lower than average)
vs
32.95 %

Percent of long-stay high-risk residents with pressure ulcers
2.9 % (9.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 2.6 / 3 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
13.3 % (2.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection 2.6 / 3 % 
Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher 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
3.8 % (21.22 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.4 % (7.24 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
73.5 % (10.44 % lower 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
2.3 % (13.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.7 % (13.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (22.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.2 % (7.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.1 % (4.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.5 % (1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
68.4 % (25.02 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
15.3 % (4.65 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6.7 % (2.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.8 % (19.06 % 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
2.9 % (7.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
4.9 % (19.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
52.8 % (28.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
51.2 % (23.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
27.3 % (9.96 % higher than average)
vs
17.34 %



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