| General |
| City |
| New Castle |
Wyndmoor |
| State attribute explanation |
| Pa |
Pa |
| Street |
| 520 Friendship Street |
8833 Stenton Avenue |
| Zip Code |
| 16,101 |
19,038 |
| Phone |
| 4,126,547,791 |
2,158,362,100 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 204-957-3467 |
200 |
|
Total Number of Residents |
| 164 |
157 |
|
Percent of Occupied Beds |
| 80 % |
79 % |
| Health Survey Date |
| 1/26/2012 |
1/26/2012 |
| Fire Survey Date |
| 1/11/2012 |
1/9/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| 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 |
|
10 |
|
| Staff Information |
| Number of Residents |
| 164 |
157 |
| Number of RN Hours Per Resident Per Day |
| 0.63 |
0.73 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.29 |
0.85 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.92 |
1.58 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.12 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/03/2012date Of Correction: 05/31/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/10/2010date Of Correction: 09/28/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/28/2010date Of Correction: 07/21/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 02/24/2010date Of Correction: 03/02/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/20/2011date Of Correction: 05/25/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/10/2010date Of Correction: 09/28/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/28/2010date Of Correction: 07/21/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 12/13/2010date Of Correction: 12/17/2010 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 12/13/2010date Of Correction: 12/17/2010 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/10/2010date Of Correction: 09/28/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.8 % |
25 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.1 % |
4.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
9.7 % |
| Percent of long-stay residents who lose too much weight |
| 3.1 % |
7.9:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 55.4 % |
53.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
4.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 10.1:1 |
1.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 8.1 / 8.8 |
0.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
15.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.6 % |
48.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
38.5 % |
| 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 |
| 2.5 % |
1.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.1 % |
24.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.20 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.7:1 |
9.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.3 % |
9 % |
| Percent of long-stay residents who lose too much weight |
| 4.6 % |
10.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.7 % |
49.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.4 % |
4.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9 % |
2.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.6 % |
1.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.9 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.2 % |
17.1:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.6 % |
49.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.8 % |
39.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.8 % |
22.4:1 |