MOUNT CARMEL REHABILITATION AND NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Mount Carmel Rehabilitation and Nursing Center. 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

MOUNT CARMEL REHABILITATION AND NURSING CENTER
235 MYRTLE STREET
MANCHESTER, NH 03104
(603) 627-3811

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 110
  • Certified Beds: 122

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Bedford | Goffstown | Derry

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 "Ultra-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 Mount Carmel Rehabilitation and Nursing Center. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.9%
Total Percent:0.9%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.7%
Total Percent:0.7%
 

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: 11-1613.8%
ADL Index Range: 6-1023.6%
ADL Index Range: 0-528.9%
Total Percent:66.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-106.3%
ADL Index Range: 0-54.7%
Total Percent:11.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.7%
ADL Index Range: 6-102.7%
Total Percent:4.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.9%
ADL Index Range: 6-102.3%
ADL Index Range: 0-50.3%
Total Percent:5.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
2.1%
Total Percent:2.1%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.4%
Total Percent:1.4%
 

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: 11-14
- No Signs of depression
2.3%
ADL Index Range: 6-10
- No Signs of depression
0.1%
Total Percent:2.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.4%
ADL Index Range: 6-10
- No Signs of depression
0.07%
ADL Index Range: 0-1
- No Signs of depression
2.1%
Total Percent:2.5%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.8%
ADL Index Range: 6-10
- Less restorative nursing
0.8%
ADL Index Range: 2-5
- Less restorative nursing
0.2%
ADL Index Range: 0-1
- Less restorative nursing
0.9%
Total Percent:2.7%
 

Rating Details For Mount Carmel Rehabilitation and Nursing Center

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) Hours54 Minutes1 Hour and 3 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours44 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 42 Minutes
Total Nurse Hours4 Hours and 2 Minutes3 Hours and 59 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 New Hampshire are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew Hampshire Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%17%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%51%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%15%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%24%

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 04/07/2011.

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: 02/20/2009
  • Correction Date: 03/31/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/18/2010
  • Correction Date: 01/01/1900

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/31/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/18/2010
  • Correction Date: 01/01/1900

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/31/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/31/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 02/20/2009
  • Correction Date: 03/31/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Mount Carmel Rehabilitation and Nursing Center, as well as complaints by residents or their family in the previous three years.

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
Formal ComplaintsDegree of HarmResidents Affected

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 04/07/2011
  • Correction Date: 04/30/2011

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 Mount Carmel Rehabilitation and Nursing Center 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 04/07/2011.

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: 02/19/2009
  • Correction Date: 04/21/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/19/2009
  • Correction Date: 04/21/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/18/2010
  • Correction Date: 01/01/1900

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/19/2009
  • Correction Date: 04/21/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/18/2010
  • Correction Date: 01/01/1900

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/18/2010
  • Correction Date: 01/01/1900

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/19/2009
  • Correction Date: 04/21/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/19/2009
  • Correction Date: 04/21/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 02/19/2009
  • Correction Date: 04/21/2009

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 02/19/2009
  • Correction Date: 04/21/2009
Source: Medicare Nursing Home Compare; Health Facility Administration of New Hampshire - Retrieved 2011