LGAR HEALTH AND REHABILITATION

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

LGAR HEALTH AND REHABILITATION
800 ELSIE STREET
TURTLE CREEK, PA 15145
(412) 825-9000

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 115
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • 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 "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 Lgar Health and Rehabilitation. 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

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: 2-105.2%
Total Percent:5.2%
 

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: 11-162.4%
Total Percent:2.4%
 

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: 6-1015.7%
ADL Index Range: 0-511.8%
Total Percent:27.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.6%
ADL Index Range: 6-1013.2%
ADL Index Range: 0-59.6%
Total Percent:25.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.7%
ADL Index Range: 6-1011.5%
Total Percent:16.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.9%
ADL Index Range: 6-106.6%
Total Percent:8.5%
 

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
1.2%
Total Percent:1.2%
 

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: 6-10
- No Signs of depression
1.6%
Total Percent:1.6%
 

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
2.3%
ADL Index Range: 11-14
- No Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
2.4%
Total Percent:5.1%
 

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: 15-16
- Less restorative nursing
1.9%
ADL Index Range: 6-10
- Less restorative nursing
4.9%
Total Percent:6.8%
 

Rating Details For Lgar Health and Rehabilitation

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) Hours32 Minutes1 Hour and 20 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 11 Minutes2 Hours and 35 Minutes
Total Licensed Nurse Hours1 Hour and 25 Minutes2 Hours and 3 Minutes
Total Nurse Hours3 Hours and 36 Minutes4 Hours and 38 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 Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse24%17%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%18%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%19%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder85%63%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores17%13%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%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 09/24/2010.

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

Environmental

Keep All Essential Equipment Working Safely.
  • Inspection Date: 09/19/2008
  • Correction Date: 11/01/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/15/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 09/19/2008
  • Correction Date: 11/01/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/19/2008
  • Correction Date: 11/01/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/19/2008
  • Correction Date: 11/01/2008
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: 08/20/2009
  • Correction Date: 10/13/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/13/2009

Quality Care

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.
  • Inspection Date: 09/19/2008
  • Correction Date: 11/01/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/19/2008
  • Correction Date: 11/01/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/15/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/15/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/15/2010

Resident Assessment

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: 09/19/2008
  • Correction Date: 11/01/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/15/2010

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 09/19/2008
  • Correction Date: 11/01/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/13/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/15/2010

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 Lgar Health and Rehabilitation 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 09/07/2010.

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: 08/03/2009
  • Correction Date: 09/15/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 09/07/2010
  • Correction Date: 11/06/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/03/2009
  • Correction Date: 09/15/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 08/03/2009
  • Correction Date: 09/15/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 09/22/2008
  • Correction Date: 11/17/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/03/2009
  • Correction Date: 09/15/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/07/2010
  • Correction Date: 11/06/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/22/2008
  • Correction Date: 11/17/2008
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/03/2009
  • Correction Date: 09/15/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/03/2009
  • Correction Date: 09/15/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/22/2008
  • Correction Date: 11/17/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/07/2010
  • Correction Date: 11/06/2010
Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011