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MILLCREEK MANOR

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MILLCREEK MANOR VS
Nursing Homes USA
General
City ERIE   0.1% Nursing Homes USA have ERIE
State attribute explanation PA   4.5% Nursing Homes USA have PA
Street 5515 PEACH STREET  
Zip Code 16509  
Phone 8148687395  
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
50 
108.94
Total Number of Residents
49 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 12/1/2011  
Fire Survey Date 11/2/2011  
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 - 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 RESIDENT   66% Nursing Homes USA have RESIDENT
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
49 
91.38
Number of RN Hours Per Resident Per Day
1.21 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.38 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.59 
1.59
Number of CNA Hours Per Resident Per Day
0.12 
5.49
Number Therapy Hours Per Resident Per Day
0.12 
0.10
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 08/13/2009
date Of Correction: 08/26/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 12/29/2011
date Of Correction: 02/06/2012 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Ensure That All Nurse Aids Who Have Worked Less Than 4 Months Are Enrolled In Appropriate Training Or Have Been Deemed Competent To Provide Nursing And Nursing Related Services.
survey Date: 10/15/2009
date Of Correction: 10/26/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
17.5 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
3.5 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
7.6 %
16.66 %
Percent of long-stay residents who lose too much weight
7.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection 17.1:1 % 
Percent of long-stay residents who have depressive symptoms
7.3 %
28.38 %
Percent of long-stay residents who were physically restrained
2.4 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
14.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.3 %
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
2.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
5 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 10.7:1 % 
Percent of long-stay high-risk residents with pressure ulcers 15.9:1 % 
Percent of long-stay residents who lose too much weight
9.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection 16.3:1 % 
Percent of long-stay residents who have depressive symptoms
15.6 %
19.86 %
Percent of long-stay residents who were physically restrained
3.9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
5.4 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
15.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
1.6 %
17.34 %

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