| General |
| City |
| Chester |
Lancaster |
| State attribute explanation |
| Sc |
Sc |
| Street |
| 1 Medical Park Drive |
800 West Meeting Street |
| Zip Code |
| 29,706 |
29,720 |
| Phone |
| 8,035,819,400 |
8,032,861,837 |
|
Overall Star Rating |
| 1 |
4 |
|
Health Inspections Star Rating |
| 1 |
5 |
|
Nurse Staffing Star Rating |
| 4 |
5 |
|
Quality Measures Star Rating |
| 1 |
1 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 100 |
14 |
|
Total Number of Residents |
| 78 |
12 |
|
Percent of Occupied Beds |
| 78 % |
86 % |
| Health Survey Date |
| 5/3/2012 |
1/26/2012 |
| Fire Survey Date |
| 5/3/2012 |
1/26/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 13 |
|
|
| Staff Information |
| Number of Residents |
| 78 |
12 |
| Number of RN Hours Per Resident Per Day |
| 0.65 |
3.18 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.34 |
0.83 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.99 |
4.02 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.48 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.48 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 07/08/2010date Of Correction: 08/08/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: 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: 03/24/2010date Of Correction: 04/25/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/21/2010date Of Correction: 08/20/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/21/2010date Of Correction: 08/20/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 07/08/2010date Of Correction: 08/08/2010 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 03/24/2010date Of Correction: 04/24/2010 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/24/2010date Of Correction: 04/24/2010 |
|
| Deficiency #6 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/24/2010date Of Correction: 04/24/2010 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 03/24/2010date Of Correction: 04/24/2010 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/27/2009date Of Correction: 09/27/2009 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 07/08/2010date Of Correction: 08/08/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/24/2010date Of Correction: 04/24/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 08/27/2009date Of Correction: 09/27/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 5.6:1 |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 27.5 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
|
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.9 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 20.3 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 9.1 % |
|
| Percent of long-stay residents who were physically restrained |
| 4.2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.9 % |
46.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.6 % |
99.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 7.1 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
1.50 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 26.3 (79.3) |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
|
| Percent of long-stay residents who lose too much weight |
| 2 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.4 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.6 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 16.7 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 6.3 % |
|
| Percent of long-stay residents who were physically restrained |
| 3.8 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.9 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 39.7 % |
45.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.1 % |
99.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
1 % |