| General |
| City |
| Moravia |
Rockville Centre |
| State attribute explanation |
| Ny |
Ny |
| Street |
| Po Box 1079 |
41 Maine Avenue |
| Zip Code |
| 13,118 |
11,570 |
| Phone |
| 3,154,970,440 |
5,165,367,730 |
|
Overall Star Rating |
| 2 |
2 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
2 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 40 |
158 |
|
Total Number of Residents |
| 36 |
151 |
|
Percent of Occupied Beds |
| 90 % |
96 % |
| Health Survey Date |
| 10/13/2011 |
8/1/2011 |
| Fire Survey Date |
| 10/13/2011 |
8/1/2011 |
| Sprinkler Status |
| Partially 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 |
No |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 3 |
2 |
|
| Staff Information |
| Number of Residents |
| 36 |
151 |
| Number of RN Hours Per Resident Per Day |
| 0.34 |
0.48 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.08 |
0.82 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.42 |
1.3 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.08 |
| 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: 07/12/2010date Of Correction: 09/17/2010 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 07/12/2010date Of Correction: 09/17/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.survey Date: 06/14/2011date Of Correction: 06/27/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/21/2010date Of Correction: 09/15/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/21/2010date Of Correction: 09/15/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
15.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 8.9 / 9.9 |
4.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
10.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 24.2 % |
6.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
50 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.2 % |
3.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 27.3 % |
10.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 3 % |
57.3 % |
| Percent of long-stay residents who were physically restrained |
| 12.1:1 |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.9 % |
85.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 90.9 % |
85.4 % |
| 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 |
| 6.1 % |
2.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 41 % |
15.9:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.5 % |
4.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
8.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.9 % |
8.7 % |
| Percent of long-stay residents who lose too much weight |
| 15.6 % |
10 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 18.8 % |
47.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5 % |
5.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 25 % |
13.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.1 % |
24.6 % |
| Percent of long-stay residents who were physically restrained |
| 6.1 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.1 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
4.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.3 % |
84 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.3 % |
83.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
10.7:1 |