STONEHEDGE HEALTH AND REHAB CENTER-CHITTENANGO
Address
331 RUSSELL STREET
CHITTENANGO, NY 13037
(315) 687-7255
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 79
- Certified Beds: 80
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Individual
- Offers Both Resident and Family Counseling Services
- This Facility is Not Part of a Chain or Franchise
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 Stonehedge Health and Rehab Center-Chittenango. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 2.4% |
Total Percent: | 2.4% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 26.0% |
ADL Index Range: 6-10 | 24.9% |
ADL Index Range: 0-5 | 2.5% |
Total Percent: | 53.4% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 16.3% |
ADL Index Range: 6-10 | 6.5% |
ADL Index Range: 0-5 | 1.4% |
Total Percent: | 24.2% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 8.6% |
ADL Index Range: 6-10 | 7.8% |
Total Percent: | 16.4% |
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 | 0.08% |
ADL Index Range: 11-14 - Signs of depression | 0.9% |
ADL Index Range: 11-14 - No Signs of depression | 1.2% |
Total Percent: | 2.2% |
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 | 1.0% |
Total Percent: | 1.0% |
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: 2-5 - No Signs of depression | 0.4% |
Total Percent: | 0.4% |
Rating Details For Stonehedge Health and Rehab Center-Chittenango
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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 42 Minutes | 1 Hour and 20 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 59 Minutes | 45 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 21 Minutes | 2 Hours and 30 Minutes |
Total Licensed Nurse Hours | 1 Hour and 41 Minutes | 2 Hours and 4 Minutes |
Total Nurse Hours | 4 Hours and 2 Minutes | 4 Hours and 34 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 York are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | New York Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 7% | 8% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 13% |
Percent of Long-Stay Residents Who Were Physically Restrained | 1% | 4% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 4% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 19% | 13% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 72% | 53% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 19% | 14% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 33% | 14% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 3% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 9% | 3% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 10% | 8% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 85% | 87% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90% | 87% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 11% | 15% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 19% | 16% |
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
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 01/20/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
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Have a Detailed, Written Plan for Disasters and Emergencies.
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Train All Employees on What to Do in an Emergency.
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Environmental
Provide Needed Housekeeping and Maintenance.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Have Enough Outside Airflow.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Make Sure That Residents Are Well Nourished.
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Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Make Sure That the Attending Doctor Orders Special Diets.
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1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Hire a Qualified Dietician.
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Make Sure That Residents Are Well Nourished.
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Provide Food in a Way That Meets a Resident's Needs.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
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.
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Quality Care
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Make Sure That Each Resident's Nutritional Needs Were Met.
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Resident Assessment
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
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Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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.
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Let Residents Give Themselves Their Drugs if They Are Able.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
Action Taken | Date | Amount |
Civil Money Penalty (CMP) | 10/22/2009 | $5,200 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Stonehedge Health and Rehab Center-Chittenango, 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 Complaints | Degree of Harm | Residents Affected |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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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 Stonehedge Health and Rehab Center-Chittenango 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 01/20/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Furnishings and Decorations
Properly Sized and Located Linen or Trash Receptacles.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Vertical Openings
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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