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LUTHERAN HOME AT HOLLIDAYSBURG

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LUTHERAN HOME AT HOLLIDAYSBURG VS
Nursing Homes USA
General
City HOLLIDAYSBURG   0% Nursing Homes USA have HOLLIDAYSBURG
State attribute explanation PA   4.5% Nursing Homes USA have PA
Street 916 HICKORY STREET  
Zip Code 16648  
Phone 8146964527  
Overall Star Rating
2 
3.11
Health Inspections Star Rating
2 
2.83
Nurse Staffing Star Rating
1 
3.17
Quality Measures Star Rating
5 
3.31
RN Only Star Rating
2 
3.17
Number of Certified Beds
89 
108.94
Total Number of Residents
87 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 1/12/2012  
Fire Survey Date 1/23/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Church Related  4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  9.1% Nursing Homes USA 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
9 
7.48
Staff Information
Number of Residents
87 
91.38
Number of RN Hours Per Resident Per Day
0.43 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.04 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.47 
1.59
Number of CNA Hours Per Resident Per Day
0.07 
5.49
Number Therapy Hours Per Resident Per Day
0.07 
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: 07/30/2010
date Of Correction: 08/27/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 04/21/2011
date Of Correction: 06/09/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give The Resident The Right To Receive Visitors.
survey Date: 07/30/2010
date Of Correction: 08/27/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/21/2011
date Of Correction: 06/09/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 01/10/2011
date Of Correction: 02/25/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/24/2010
date Of Correction: 08/02/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/24/2010
date Of Correction: 08/02/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/10/2011
date Of Correction: 02/25/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/24/2010
date Of Correction: 08/02/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 10.3:1 % 
Percent of long-stay high-risk residents with pressure ulcers 12.3:1 % 
Percent of long-stay residents who lose too much weight
5.3 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.1 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4 %
13.46 %
Percent of long-stay residents who have depressive symptoms
17.6 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
4.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
26.6 (79.9) %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
26.2 %
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
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.8 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
6.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
9.5 %
9.22 %
Percent of long-stay residents who lose too much weight
5.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
55 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
11.4 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
3.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
31.4 (88.5) %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
25.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
17.5 %
17.34 %

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