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HOLY FAMILY MANOR

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HOLY FAMILY MANOR VS
All other Nursing Homes USA
General
City BETHLEHEM   vs 0.1% Nursing Homes USA have BETHLEHEM
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 1200 SPRING STREET  
Zip Code 18018  
Phone 6108655595  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

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

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

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
208  (99.06 higher than average)
vs
108.94

Total Number of Residents
201  (109.75 higher than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 3/23/2012  
Fire Survey Date 3/12/2012  
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 Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA 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
(6.48 lower than average)
vs
7.48

Staff Information
Number of Residents
201  (109.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.73  (0.04 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.67  (0.17 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.39  (0.2 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

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: 03/04/2011
date Of Correction: 04/20/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.9-24 % (8.19 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3 % (29.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
14.9-28 % (1.76 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.2 % (8.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3 % (8.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
81.2 % (36.66 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (11.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.2 % (12.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.7 % (26.68 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.1 % (42.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
26.8 % (1.78 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.8 % (6.16 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
88.5 % (4.56 % 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
2.20 % (13.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.2 % (9.19 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.4 % (21.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.3 % (2.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.6 % (5.62 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5 % (3.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
83.8 % (40.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (5.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.1 % (6.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.1 % (18.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.1 % (37.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2 % (8.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
36.1 % (11.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.6 % (9.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
86 % (11.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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