| General |
| City |
| Rochester |
Lake Placid |
| State attribute explanation |
| Ny |
Ny |
| Street |
| 150 Highland Avenue |
185 Old Military Road |
| Zip Code |
| 14,620 |
12,946 |
| Phone |
| 5,852,715,413 |
5,185,232,464 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 3 |
2 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 475 |
157 |
|
Total Number of Residents |
| 455 |
123 |
|
Percent of Occupied Beds |
| 96 % |
78 % |
| Health Survey Date |
| 6/24/2011 |
8/25/2011 |
| Fire Survey Date |
| 6/24/2011 |
8/25/2011 |
| Sprinkler Status |
| Partially 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 |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
| 6 |
15 |
|
| Staff Information |
| Number of Residents |
| 455 |
123 |
| Number of RN Hours Per Resident Per Day |
| 0.59 |
0.53 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.26 |
0.55 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.85 |
1.07 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 09/28/2009date Of Correction: 11/25/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 04/13/2012date Of Correction: 06/13/2012 |
Scope: Manylevel Of Harm: 4deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 03/22/2011date Of Correction: 04/18/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 12/23/2010date Of Correction: 02/18/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/13/2012date Of Correction: 06/13/2012 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 04/25/2012date Of Correction: 06/22/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/13/2012date Of Correction: 06/13/2012 |
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: 09/30/2010date Of Correction: 11/26/2010 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/27/2010date Of Correction: 11/17/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/30/2010date Of Correction: 11/26/2010 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/30/2010date Of Correction: 07/01/2010 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/30/2009date Of Correction: 09/25/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 06/02/2011date Of Correction: 07/12/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.survey Date: 09/30/2010date Of Correction: 11/26/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 03/22/2011date Of Correction: 04/18/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 03/22/2011date Of Correction: 04/18/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/30/2010date Of Correction: 11/26/2010 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 06/02/2011date Of Correction: 07/12/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 06/02/2011date Of Correction: 07/12/2011 |
| Smoking Regulations Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Posted ""no-smoking"" Signs In Areas Where Smoking Is Not Permitted Or Did Not Provide Ashtrays Where Smoking Was Allowed.survey Date: 04/05/2010date Of Correction: 04/21/2010 |
| Fire Alarm Systems Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: An Approved Installation, Maintenance And Testing Program For Fire Alarm Systems.survey Date: 04/05/2010date Of Correction: 04/21/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 22.8 % |
12.4-2413.6-24 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.5 % |
5.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.6 % |
10.1:1 |
| Percent of long-stay residents who lose too much weight |
| 7.2 % |
15.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 53.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.8 % |
4.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.6 / 3 |
7 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
12.9 (55.2) |
| Percent of long-stay residents who were physically restrained |
| 0.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 36 % |
22.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 79.7 % |
88.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.8 % |
93.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
2.20 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.3 % |
7.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23 % |
16.3:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.9 (55.2) |
10.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
12.3:1 |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
12 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 53.4 % |
26 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
4.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.1 % |
7.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.1 % |
10.8 % |
| Percent of long-stay residents who were physically restrained |
| 0.3 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
7.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 30.4 % |
18.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.8 % |
89 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 80.4 % |
95.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 26.2 % |
34.2 % |