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LORETTO HEALTH AND REHABILITATION CENTER

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LORETTO HEALTH AND REHABILITATION CENTER VS
Nursing Homes USA
General
City SYRACUSE   0.1% Nursing Homes USA have SYRACUSE
State attribute explanation NY   4.1% Nursing Homes USA have NY
Street 700 EAST BRIGHTON AVENUE  
Zip Code 13205  
Phone 3154695570  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
554 
108.94
Total Number of Residents
541 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 6/30/2011  
Fire Survey Date 6/30/2011  
Sprinkler Status Partially Sprinklered  8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
541 
91.38
Number of RN Hours Per Resident Per Day
0.45 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.96 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.41 
1.59
Number of CNA Hours Per Resident Per Day
0.08 
5.49
Number Therapy Hours Per Resident Per Day
0.08 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 06/30/2011
date Of Correction: 08/29/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 07/09/2009
date Of Correction: 09/06/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/13/2010
date Of Correction: 07/07/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/13/2010
date Of Correction: 07/07/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15.3 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.6 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 12.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
3.1 %
12.58 %
Percent of long-stay residents who lose too much weight 8.1 / 8.8 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
72.6 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
9.5 %
28.38 %
Percent of long-stay residents who were physically restrained
0.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
25.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.7 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
3.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 18.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.50 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
10.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.6 %
9.22 %
Percent of long-stay residents who lose too much weight
7.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
72.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
10.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
9 %
19.86 %
Percent of long-stay residents who were physically restrained
0.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
25.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
16 %
17.34 %

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