| General |
| City |
| Zelienople |
Erie |
| State attribute explanation |
| Pa |
Pa |
| Street |
| 401 South Main Street |
1521 West 54th Street |
| Zip Code |
| 16,063 |
16,509 |
| Phone |
| 7,244,525,400 |
8,148,640,671 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 158 |
133 |
|
Total Number of Residents |
| 140 |
121 |
|
Percent of Occupied Beds |
| 89 % |
91 % |
| Health Survey Date |
| 3/9/2012 |
9/16/2011 |
| Fire Survey Date |
| 3/13/2012 |
9/20/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| Yes |
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 |
|
11 |
|
| Staff Information |
| Number of Residents |
| 140 |
121 |
| Number of RN Hours Per Resident Per Day |
| 1.04 |
0.7 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.96 |
0.9 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2 |
1.6 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.08 |
| 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: 11/22/2011date Of Correction: 12/07/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 1deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 11/07/2011date Of Correction: 11/30/2011 |
| Deficiency #3 |
|
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: 05/07/2010date Of Correction: 06/17/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 11/22/2011date Of Correction: 12/07/2011 |
| Deficiency #2 |
|
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: 01/12/2011date Of Correction: 03/01/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.survey Date: 05/07/2010date Of Correction: 06/17/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/07/2010date Of Correction: 06/17/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 11/22/2011date Of Correction: 12/07/2011 |
| 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: 05/07/2010date Of Correction: 06/17/2010 |
| 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: 05/07/2010date Of Correction: 06/17/2010 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/10/2009date Of Correction: 09/22/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.8 % |
16.3:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.8 % |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14 % |
30.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.9 % |
14.1 % |
| Percent of long-stay residents who lose too much weight |
| 8.5 % |
9.9:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 76.6 % |
65.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.4 % |
4.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.8 % |
6.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.5 % |
1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.6 % |
27.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.9 % |
98 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.4 % |
97.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.9 % |
2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.1:1 |
16.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.5 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.3 % |
23.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.5 % |
9.2 % |
| Percent of long-stay residents who lose too much weight |
| 9 % |
9.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 72.4 % |
59.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5 % |
2.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.8 % |
9.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.8 % |
1.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
2.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.7 % |
28.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.7 % |
98.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.5 % |
97.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 13.1:1 |
0.7 % |