FREDERICK MENNONITE COMMUNITY

The information listed below provides an in-depth look into the type and quality of care offered at Frederick Mennonite Community. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

FREDERICK MENNONITE COMMUNITY
2849 BIG ROAD
FREDERICK, PA 19435
(610) 754-7878

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 60
  • Certified Beds: 61

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Frederick Mennonite Community. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1632.3%
ADL Index Range: 0-56.9%
Total Percent:39.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1628.8%
ADL Index Range: 6-103.3%
ADL Index Range: 0-511.2%
Total Percent:43.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.9%
ADL Index Range: 6-106.0%
ADL Index Range: 0-50.2%
Total Percent:11.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-103.2%
ADL Index Range: 0-50.2%
Total Percent:3.3%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
3.0%
Total Percent:3.0%
 

Rating Details For Frederick Mennonite Community

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 22 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours15 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 17 Minutes2 Hours and 41 Minutes
Total Licensed Nurse Hours1 Hour and 36 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 53 Minutes4 Hours and 40 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Pennsylvania are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityPennsylvania Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder73%63%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%19%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%17%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%18%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores8%13%
Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain10%20%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/08/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/08/2010
  • Correction Date: 07/23/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/08/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/08/2010
  • Correction Date: 07/23/2010

Mistreatment

1) Hire Only People Who Have 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.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/08/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/08/2010
  • Correction Date: 07/23/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/08/2010
  • Correction Date: 07/23/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/18/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Frederick Mennonite Community had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/03/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/30/2009
  • Correction Date: 07/30/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/03/2010
  • Correction Date: 08/02/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/29/2008
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 06/03/2010
  • Correction Date: 08/02/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/03/2010
  • Correction Date: 08/02/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/29/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/30/2009
  • Correction Date: 07/30/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/03/2010
  • Correction Date: 08/02/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/29/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/29/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/29/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/30/2009
  • Correction Date: 07/30/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 07/10/2008
  • Correction Date: 07/29/2008
Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011