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MARIAN MANOR CORPORATION

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MARIAN MANOR CORPORATION VS
All other Nursing Homes USA
General
City PITTSBURGH   vs 0.2% Nursing Homes USA have PITTSBURGH
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 2695 WINCHESTER DRIVE  
Zip Code 15220  
Phone 4125636866  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher 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
154  (45.06 higher than average)
vs
108.94

Total Number of Residents
140  (48.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 6/15/2012  
Fire Survey Date 6/25/2012  
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? 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
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
140  (48.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.91  (0.14 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.87  (0.03 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.77  (0.18 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.19  (5.3 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.19  (0.09 higher than average)
vs
0.10

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 07/15/2011
date Of Correction: 08/23/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/23/2009
date Of Correction: 01/06/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/15/2011
date Of Correction: 08/23/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 07/15/2011
date Of Correction: 08/23/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 12.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.4 % (30.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
10.5 % (6.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.3 % (6.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
0.9 % (10.93 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
58.3 % (13.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher 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
7.8 % (20.58 % 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
42.9 % (17.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.5 % (13.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
99.5 % (15.56 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
1.3 % (44.6 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.7 % (13.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
10 % (15.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.9 % (2.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.1 % (3.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
0.8 % (7.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
50 % (6.62 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.2 % (10.45 % 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
7.8 % (12.06 % 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
1.7 % (9.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
36 % (11.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
98.6 % (17.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.9 % (24.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
16.1 % (1.24 % lower than average)
vs
17.34 %



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