SYCAMORE MANOR HEALTH CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Sycamore Manor Health 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

SYCAMORE MANOR HEALTH CENTER
1445 SYCAMORE ROAD
MONTOURSVILLE, PA 17754
(570) 326-2037

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: 131
  • Certified Beds: 133

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Williamsport | Muncy | Watsontown

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 Sycamore Manor Health 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: 11-160.3%
Total Percent:0.3%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five 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: 11-162.8%
Total Percent:2.8%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five 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%
 

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: 11-164.7%
ADL Index Range: 6-101.8%
ADL Index Range: 0-50.5%
Total Percent:7.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.9%
ADL Index Range: 6-1020.8%
ADL Index Range: 0-511.4%
Total Percent:41.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.5%
ADL Index Range: 6-1012.2%
ADL Index Range: 0-54.5%
Total Percent:30.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.6%
ADL Index Range: 6-104.5%
ADL Index Range: 0-50.9%
Total Percent:14.1%
 

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: 15-16
- Signs of depression
0.1%
ADL Index Range: 11-14
- Signs of depression
0.6%
Total Percent:0.7%
 

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: 15-16
- No Signs of depression
0.9%
ADL Index Range: 6-10
- No Signs of depression
0.9%
Total Percent:1.8%
 

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
0.3%
ADL Index Range: 2-5
- No Signs of depression
0.07%
Total Percent:0.4%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:0.3%
 

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: 0-1
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Rating Details For Sycamore Manor Health 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) Hours24 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours55 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 3 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 19 Minutes1 Hour and 54 Minutes
Total Nurse Hours3 Hours and 22 Minutes4 Hours and 20 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 Vaccination80%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season16%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%17%
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 Are More Depressed or Anxious25%19%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%63%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season38%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination51%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain30%20%
Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Have Pressure Sores5%13%

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 08/20/2010.

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

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010

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: 07/10/2008
  • Correction Date: 08/25/2008

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 07/10/2008
  • Correction Date: 08/25/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010

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: 08/25/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Give or Get Dental Care for Each Resident.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/10/2008
  • Correction Date: 08/25/2008
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 07/10/2008
  • Correction Date: 08/25/2008
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/14/2009
  • Correction Date: 09/14/2009
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 08/20/2010
  • Correction Date: 10/15/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Sycamore Manor Health 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

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 07/14/2009
  • Correction Date: 08/10/2009
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 02/02/2011
  • Correction Date: 04/04/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/08/2011
  • Correction Date: 04/04/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/22/2011
  • Correction Date: 05/16/2011

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.
  • Complaint Filed: 06/28/2010
  • Correction Date: 07/30/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 07/21/2008
  • Correction Date: 08/25/2008

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 07/21/2008
  • Correction Date: 08/25/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 02/15/2011
  • Correction Date: 04/04/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/28/2010
  • Correction Date: 07/30/2010
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 02/02/2011
  • Correction Date: 04/04/2011

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Complaint Filed: 07/21/2008
  • Correction Date: 08/25/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Complaint Filed: 07/14/2009
  • Correction Date: 08/10/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 06/28/2010
  • Correction Date: 07/30/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 03/08/2011
  • Correction Date: 04/04/2011

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 Sycamore Manor Health 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 08/30/2010.

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: 07/11/2008
  • Correction Date: 08/25/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 08/30/2010
  • Correction Date: 10/29/2010
Portable Fire Extinguishers.
  • Inspection Date: 08/30/2010
  • Correction Date: 10/29/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 08/07/2009
  • Correction Date: 09/11/2009
Approved Construction Type or Materials.
  • Inspection Date: 08/30/2010
  • Correction Date: 11/30/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 08/30/2010
  • Correction Date: 10/29/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/11/2008
  • Correction Date: 08/25/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/07/2009
  • Correction Date: 08/31/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/30/2010
  • Correction Date: 10/29/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/07/2009
  • Correction Date: 08/31/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/30/2010
  • Correction Date: 10/29/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/11/2008
  • Correction Date: 08/25/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/11/2008
  • Correction Date: 08/25/2008
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 08/07/2009
  • Correction Date: 08/31/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/11/2008
  • Correction Date: 08/25/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/11/2008
  • Correction Date: 08/25/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/07/2009
  • Correction Date: 08/31/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/07/2009
  • Correction Date: 08/31/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/30/2010
  • Correction Date: 10/29/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/30/2010
  • Correction Date: 10/29/2010
Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011