General |
City |
Clinton |
Mount Vernon |
State attribute explanation |
Ny |
Ny |
Street |
110 Utica Road |
Bradley Avenue |
Zip Code |
13,323 |
10,552 |
Phone |
3,158,535,515 |
9,146,990,800 |
Overall Star Rating |
1 |
5 |
Health Inspections Star Rating |
1 |
5 |
Nurse Staffing Star Rating |
1 |
1 |
Quality Measures Star Rating |
4 |
5 |
RN Only Star Rating |
2 |
1 |
Number of Certified Beds |
280 |
240 |
Total Number of Residents |
261 |
226 |
Percent of Occupied Beds |
93 % |
94 % |
Health Survey Date |
8/19/2011 |
8/29/2011 |
Fire Survey Date |
8/19/2011 |
8/29/2011 |
Sprinkler Status |
Fully Sprinklered |
Partially Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
Non Profit - Church Related |
Non Profit - Corporation |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
No |
No |
Resident and Family Councils |
Both |
Both |
Continuing Care Retirement Community? |
No |
No |
Quality Indicator Survey? |
No |
No |
Special Focus Facility? |
No |
No |
Civil Money Penalty Count |
2 |
75.2 |
Total Enforcement Actions Count |
3 |
75.2 |
# of deficiencies |
4 |
|
|
Staff Information |
Number of Residents |
261 |
220 |
Number of RN Hours Per Resident Per Day |
0.43 |
0.36 |
Number of LPN/LVN Hours Per Resident Per Day |
0.88 |
0.82 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.3 |
1.18 |
Number of CNA Hours Per Resident Per Day |
0.06 |
0.1 |
Number Therapy Hours Per Resident Per Day |
0.06 |
0.1 |
Quality Care Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 4deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 05/23/2011date Of Correction: 07/01/2011 |
|
Administration Deficiencies |
Deficiency #1 |
Scope: Fewlevel Of Harm: 3deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 05/23/2011date Of Correction: 07/01/2011 |
|
Deficiency #2 |
Scope: Somelevel Of Harm: 2deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 05/23/2011date Of Correction: 07/01/2011 |
|
Deficiency #3 |
Scope: Somelevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 05/23/2011date Of Correction: 07/01/2011 |
|
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
18.9 % |
14.1 % |
Percent of long-stay residents whose need for help with daily activities has increased |
2.4 % |
1.4 % |
Percent of long-stay residents who self-report moderate to severe pain |
3.9 % |
2.9 % |
Percent of long-stay high-risk residents with pressure ulcers |
6.6 % |
8.1 / 8.8 |
Percent of long-stay residents who lose too much weight |
6.7 % |
3 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
59.3 % |
68.8 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1 % |
0.5 - 2.0 |
Percent of long-stay residents with a urinary tract infection |
6.2 % |
6.5 % |
Percent of long-stay residents who have depressive symptoms |
75.2 % |
4 % |
Percent of long-stay residents who were physically restrained |
0.4 % |
75.2 % |
Percent of short-stay residents who self-report moderate to severe pain |
15.5 % |
14 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
92 % |
91.1 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
90.9 % |
97.3 % |
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 |
4.3 % |
1 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
20.4 % |
14.4 % |
Percent of long-stay residents whose need for help with daily activities has increased |
2.9 % |
1.6 % |
Percent of long-stay residents who self-report moderate to severe pain |
5.1 % |
2.7 % |
Percent of long-stay high-risk residents with pressure ulcers |
6.9 % |
10.6 % |
Percent of long-stay residents who lose too much weight |
7.2 % |
4.1 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
59.7 % |
67.8 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1 % |
0.6 % |
Percent of long-stay residents with a urinary tract infection |
7.3 % |
6.9 % |
Percent of long-stay residents who have depressive symptoms |
0.2 % |
4 % |
Percent of long-stay residents who were physically restrained |
0.9 % |
75.2 % |
Percent of long-stay residents experiencing one or more falls with major injury |
4.2 % |
1.2 % |
Percent of short-stay residents who self-report moderate to severe pain |
15.8 % |
11 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
88 % |
80 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
86.8 % |
95.7 % |
Percent of short-stay residents who newly received an antipsychotic medication |
20.6 % |
1.3 % |