| General |
| City |
| Hanover |
Pittsburgh |
| State attribute explanation |
| Pa |
Pa |
| Street |
| 267 Frederick Street |
700 Bower Hill Road |
| Zip Code |
| 17,331 |
15,243 |
| Phone |
| 7,176,378,937 |
4,123,411,030 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 152 |
139 |
|
Total Number of Residents |
| 132 |
133 |
|
Percent of Occupied Beds |
| 87 % |
96 % |
| Health Survey Date |
| 8/11/2011 |
8/12/2011 |
| Fire Survey Date |
| 8/18/2011 |
8/1/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Church Related |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
Yes |
| 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 |
|
5 |
|
| Staff Information |
| Number of Residents |
| 132 |
125 |
| Number of RN Hours Per Resident Per Day |
| 0.64 |
0.9 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.37 |
1.01 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.01 |
1.91 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
|
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: 12/15/2010date Of Correction: 02/07/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
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: 09/29/2009date Of Correction: 11/15/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/29/2009date Of Correction: 11/15/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 12/15/2010date Of Correction: 02/07/2011 |
| Deficiency #2 |
|
Scope: Fewlevel 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: 08/04/2009date Of Correction: 09/28/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20 % |
21.2:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.6 % |
2.20 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.5 % |
4.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.8 % |
5.7 % |
| Percent of long-stay residents who lose too much weight |
| 11.8:1 |
9.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.9 % |
92.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 8.4 % |
3.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
11.6:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.5 % |
15.9:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.6 % |
86.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.7 % |
78.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
4.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
2.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.8 % |
21.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.6 % |
2.6 / 3 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 18.6 (65.5) |
6.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.1 % |
4.9 % |
| Percent of long-stay residents who lose too much weight |
| 9.7 % |
11.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 55.9 % |
89.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.3 % |
2.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.1 % |
1.50 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.2 % |
6.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
2.6 / 3 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.7 (74.7) |
22.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94 % |
83.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.5 % |
80.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.2 % |
3.7 % |