MANORCARE HEALTH SERVICES-GREEN TREE

The information listed below provides an in-depth look into the type and quality of care offered at Manorcare Health Services-Green Tree. 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

MANORCARE HEALTH SERVICES-GREEN TREE
1848 GREENTREE ROAD
PITTSBURGH, PA 15220
(412) 344-7744

Nursing Home Ratings

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

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 168
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is 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 "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 Manorcare Health Services-Green Tree. 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: 2-100.8%
Total Percent:0.8%
 

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: 11-160.9%
ADL Index Range: 2-100.05%
Total Percent:1.0%
 

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: 11-160.6%
Total Percent:0.6%
 

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: 11-1617.7%
ADL Index Range: 6-1043.8%
ADL Index Range: 0-519.9%
Total Percent:81.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.8%
ADL Index Range: 6-104.2%
ADL Index Range: 0-52.0%
Total Percent:10.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.0%
ADL Index Range: 0-51.3%
Total Percent:4.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.4%
ADL Index Range: 6-100.2%
ADL Index Range: 0-50.2%
Total Percent:0.8%
 

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
- Tracheostomy care or ventilator/respirator
0.3%
Total Percent:0.3%
 

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
0.05%
ADL Index Range: 6-10
- No Signs of depression
0.05%
Total Percent:0.1%
 

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%
Total Percent:0.8%
 

Rating Details For Manorcare Health Services-Green Tree

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 4 Minutes1 Hour and 28 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes46 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 54 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 42 Minutes2 Hours and 13 Minutes
Total Nurse Hours3 Hours and 36 Minutes4 Hours and 43 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 Vaccination15%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season11%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased22%18%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%19%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%17%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder70%63%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination7%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season4%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%20%
Percent of Short-Stay Residents Who Have Pressure Sores13%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 04/08/2011.

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

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/05/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/05/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/05/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 04/08/2011
  • Correction Date: 06/01/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Manorcare Health Services-Green Tree, 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

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 04/11/2008
  • Correction Date: 05/22/2008

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 Manorcare Health Services-Green Tree 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 04/21/2011.

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

Building Service Equipment

Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/20/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/20/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/20/2011

Medical Gases and Anesthetizing Areas

Properly Constructed Piped-In Oxygen Systems.
  • Inspection Date: 04/30/2009
  • Correction Date: 06/04/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/20/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/20/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/20/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/21/2011
  • Correction Date: 06/20/2011
Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011