CARLETON SENIOR CARE AND REHAB

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 "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 Carleton Senior Care and Rehab. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 05/20/2011.

Administration

Hire a Qualified Activities Director. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/20/2011 Correction Date: 07/05/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/20/2011 Correction Date: 07/05/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/20/2011 Correction Date: 07/05/2011

Nutrition and Dietary

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. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
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. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/20/2011 Correction Date: 07/05/2011

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. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
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: 05/20/2011 Correction Date: 07/05/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/20/2011 Correction Date: 07/05/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 06/17/2010 Correction Date: 07/31/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/20/2011 Correction Date: 07/05/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/20/2011 Correction Date: 07/05/2011
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. Inspection Date: 05/20/2011 Correction Date: 07/05/2011

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.

The table below lists incident reports by the nursing staff or administration for Carleton Senior Care and Rehab, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 01/28/2011 Correction Date: 02/09/2011

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 Carleton Senior Care and Rehab 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 05/31/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/30/2010 Correction Date: 08/29/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/31/2011 Correction Date: 07/05/2011

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 04/23/2009 Correction Date: 05/24/2009
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 06/30/2010 Correction Date: 08/29/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 04/23/2009 Correction Date: 05/24/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/23/2009 Correction Date: 04/23/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/30/2010 Correction Date: 08/29/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/31/2011 Correction Date: 07/05/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/31/2011 Correction Date: 07/05/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/23/2009 Correction Date: 05/31/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 04/23/2009 Correction Date: 04/23/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/31/2011 Correction Date: 07/05/2011