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MOUNTAIN TOP SENIOR CARE AND REHAB CENTER

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MOUNTAIN TOP SENIOR CARE AND REHAB CENTER VS
All other Nursing Homes USA
General
City MOUNTAIN TOP   vs 0% Nursing Homes USA have MOUNTAIN TOP
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 185 SOUTH MOUNTAIN BOULEVARD  
Zip Code 18707  
Phone 5704746377  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
106  (2.94 lower than average)
vs
108.94

Total Number of Residents
102  (10.75 higher than average)
vs
91.25

Percent of Occupied Beds
96 % (12.35 % higher than average)
vs
83.65 %

Health Survey Date 5/24/2012  
Fire Survey Date 5/14/2012  
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 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
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
102  (10.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.48  (0.29 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.9  (0.06 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.38  (0.21 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/23/2011
date Of Correction: 07/15/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.
survey Date: 05/05/2011
date Of Correction: 06/23/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 04/22/2011
date Of Correction: 06/20/2011 

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: 06/23/2011
date Of Correction: 07/15/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 05/05/2011
date Of Correction: 06/23/2011 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/09/2012
date Of Correction: 03/01/2012 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 06/23/2011
date Of Correction: 07/15/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 22.4:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
11.5 % (5.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11.9 % (0.68 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9 % (2.83 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.3 % (11.76 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.3 % (12.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.3 % (7.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.8 % (24.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.2 % (42.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain 22.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
71.6 % (13.04 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67.4 % (16.54 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.4 % (42.5 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.5 % (13.02 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.6 % (3.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (22.3 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
12.7 % (1.4 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 9.4 / 10.4 % 
Percent of long-stay residents who lose too much weight
6.8 % (1.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
60.2 % (16.82 % 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
6.6 % (2.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.6 % (13.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.8 % (37.73 % 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
14.5 % (10.26 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.1 % (12.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.1 % (3.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.2 % (14.14 % lower than average)
vs
17.34 %



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