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PASSAVANT RETIREMENT AND HEALT VS LITTLE FLOWER MANOR OF DIOCESE

Overview:

There are 45 differences and 24 similarities between PASSAVANT RETIREMENT AND HEALT, LITTLE FLOWER MANOR OF DIOCESE

General
City
Zelienople Wilkes Barre
State attribute explanation
Pa Pa
Street
401 South Main Street 200 S. Meade Street
Zip Code
16,063 18,702
Phone
7,244,525,400 5,708,236,131
Overall Star Rating
3
2
Health Inspections Star Rating
2
1
Nurse Staffing Star Rating
4
1
Quality Measures Star Rating
4
5
RN Only Star Rating
4
2
Number of Certified Beds
158
133
Total Number of Residents
140
122
Percent of Occupied Beds
89 %
92 %
Health Survey Date
3/9/2012 10/21/2011
Fire Survey Date
3/13/2012 10/20/2011
Sprinkler Status
Fully Sprinklered Fully Sprinklered
Program Participation
Medicare And Medicaid Medicare And Medicaid
Type of Ownership
Non Profit - Church Related Non Profit - Church Related
Located Within a Hospital?
No No
Multi Nursing Home Ownership?
Yes No
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
1
Total Enforcement Actions Count
75.2
1
# of deficiencies
6
Staff Information
Number of Residents
140
122
Number of RN Hours Per Resident Per Day
1.04
0.47
Number of LPN/LVN Hours Per Resident Per Day
0.96
1
Total Number of Licensed Staff Hours Per Resident Per Day
2
1.46
Number of CNA Hours Per Resident Per Day
0.08
0.09
Number Therapy Hours Per Resident Per Day
0.08
0.09
Resident Rights Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.survey Date: 06/10/2011date Of Correction: 06/30/2011
Deficiency #2
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: 06/18/2009date Of Correction: 08/03/2009
Quality Care Deficiencies
Deficiency #1
Scope: Somelevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 06/10/2011date Of Correction: 06/30/2011
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: 06/18/2009date Of Correction: 08/03/2009
Administration Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/18/2009date Of Correction: 08/03/2009
Deficiency #2
Scope: Fewlevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 06/18/2009date Of Correction: 08/03/2009
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.8 %
11.1 %
Percent of long-stay residents whose need for help with daily activities has increased
2.8 %
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
14 %
13.9 / 15.3
Percent of long-stay high-risk residents with pressure ulcers
2.9 %
7.2 %
Percent of long-stay residents who lose too much weight
8.5 %
11.1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
76.6 %
83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 %
5.8 %
Percent of long-stay residents with a urinary tract infection
3.8 %
3 %
Percent of long-stay residents who have depressive symptoms
7.5 %
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
23.6 %
19.5-24
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.9 %
98.9 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.4 %
97.8 %
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
8.4 %
Percent of long-stay residents whose need for help with daily activities has increased
2.5 %
75.2 %
Percent of long-stay residents who self-report moderate to severe pain
14.3 %
8.6:1
Percent of long-stay high-risk residents with pressure ulcers
3.5 %
7.1 %
Percent of long-stay residents who lose too much weight
9 %
11.5 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
72.4 %
84.7 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 %
6.7 %
Percent of long-stay residents with a urinary tract infection
4.8 %
3.9 %
Percent of long-stay residents who have depressive symptoms
7.8 %
2.3 %
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
2.20 %
1 %
Percent of short-stay residents who self-report moderate to severe pain
18.7 %
16.7 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96.7 %
99.2 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.5 %
98.8 %
Percent of short-stay residents who newly received an antipsychotic medication
13.1:1
1.1 %

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