| General |
| City |
| Philadelphia |
Vicksburg |
| State attribute explanation |
| Ms |
Ms |
| Street |
| 1001 Holland Avenue |
1708 Cherry Street |
| Zip Code |
| 39,350 |
39,180 |
| Phone |
| 6,016,631,200 |
6,016,383,632 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 160 |
100 |
|
Total Number of Residents |
| 160 |
89 |
|
Percent of Occupied Beds |
| 100 % |
89 % |
| Health Survey Date |
| 5/20/2011 |
5/17/2012 |
| Fire Survey Date |
| 5/20/2011 |
5/15/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
For Profit - Corporation |
| Located Within a Hospital? |
| Yes |
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 |
| 4 |
4 |
|
| Staff Information |
| Number of Residents |
| 160 |
89 |
| Number of RN Hours Per Resident Per Day |
| 0.52 |
0.97 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.02 |
0.53 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.54 |
1.50 |
| Number of CNA Hours Per Resident Per Day |
| 75.2 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
|
0.03 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/19/2011date Of Correction: 11/15/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 10/19/2011date Of Correction: 11/15/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 01/18/2012date Of Correction: 03/01/2012 |
Scope: Manylevel Of Harm: 2deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.survey Date: 10/19/2011date Of Correction: 11/15/2011 |
| 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: 12/14/2010date Of Correction: 01/27/2011 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/14/2010date Of Correction: 01/27/2011 |
Scope: Manylevel Of Harm: 2deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.survey Date: 10/19/2011date Of Correction: 11/15/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 08/19/2010date Of Correction: 09/10/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 36.2 % |
35.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12 % |
5.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.4 % |
8.3 % |
| Percent of long-stay residents who lose too much weight |
| 5.5 % |
9.9:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 29.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.8 % |
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.1 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.4 % |
3.8 % |
| Percent of long-stay residents who were physically restrained |
| 4.1 % |
1.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.8 % |
4.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.1 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.3 % |
96.2 % |
| 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 |
| 3.4 % |
3.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 35.9 % |
29.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 18.5 % |
4.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.1 % |
5.2 % |
| Percent of long-stay residents who lose too much weight |
| 6.3 % |
6.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 27.4 % |
25 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
0.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 4 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.3 % |
5.7 % |
| Percent of long-stay residents who were physically restrained |
| 3.3 % |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.6 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.4 % |
9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.9 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 79.2 % |
13.1:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 14 % |
2.1 % |