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MOUNTAIN CITY NURSING AND REHABILITATION CENTER

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MOUNTAIN CITY NURSING AND REHABILITATION CENTER VS
Nursing Homes USA
General
City HAZLETON   0% Nursing Homes USA have HAZLETON
State attribute explanation PA   4.5% Nursing Homes USA have PA
Street 403 HAZLE TOWNSHIP BOULEVARD  
Zip Code 18202  
Phone 5704548888  
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
297 
108.94
Total Number of Residents
249 
91.25
Percent of Occupied Beds
84 %
83.65 %
Health Survey Date 9/23/2011  
Fire Survey Date 9/2/2011  
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 For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
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? 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
32 
7.48
Staff Information
Number of Residents
283 
91.38
Number of RN Hours Per Resident Per Day
0.41 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.82 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.22 
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
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/15/2011
date Of Correction: 06/30/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/20/2010
date Of Correction: 08/20/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/23/2010
date Of Correction: 04/29/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/15/2009
date Of Correction: 06/02/2009 
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: 05/28/2010
date Of Correction: 08/20/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 03/23/2010
date Of Correction: 04/29/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 04/18/2012
date Of Correction: 05/10/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 06/09/2010
date Of Correction: 07/01/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 02/24/2010
date Of Correction: 03/23/2010 
Deficiency #4 Scope: Some
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: 12/29/2009
date Of Correction: 03/23/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.
survey Date: 10/21/2009
date Of Correction: 11/09/2009 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 04/15/2009
date Of Correction: 06/02/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 06/30/2011
date Of Correction: 08/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 08/20/2010
date Of Correction: 09/02/2010 
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: 08/20/2010
date Of Correction: 09/02/2010 
Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 05/11/2010
date Of Correction: 05/21/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 04/14/2010
date Of Correction: 04/29/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/24/2010
date Of Correction: 04/29/2010 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/21/2009
date Of Correction: 11/09/2009 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 10/21/2009
date Of Correction: 11/09/2009 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 09/22/2009
date Of Correction: 11/09/2009 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/22/2009
date Of Correction: 11/09/2009 
Deficiency #11 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 04/15/2009
date Of Correction: 06/02/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Doctor Approves A Resident's Admission In Writing And That Each Resident Remains Under The Care Of A Doctor.
survey Date: 02/09/2010
date Of Correction: 03/23/2010 
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: 06/30/2011
date Of Correction: 08/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 03/15/2011
date Of Correction: 06/30/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/20/2010
date Of Correction: 08/20/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 02/24/2010
date Of Correction: 04/29/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 12/29/2009
date Of Correction: 03/23/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 09/22/2009
date Of Correction: 11/09/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 02/09/2010
date Of Correction: 03/23/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 04/15/2009
date Of Correction: 06/02/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20.2 (68.4) %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
6.1 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.7 %
12.58 %
Percent of long-stay residents who lose too much weight
7.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
49.6 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
3.7 %
28.38 %
Percent of long-stay residents who were physically restrained
1.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
22.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
1.4 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
3.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.5-24 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
5.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.5 %
9.22 %
Percent of long-stay residents who lose too much weight
9.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
2.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2.9 %
19.86 %
Percent of long-stay residents who were physically restrained
2.9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
21.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
14.8 %
17.34 %

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