MT. MACRINA MANOR

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 Mt. Macrina Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Clinically Complex

Reduced Physical Function

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 05/27/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 05/15/2009 Correction Date: 06/30/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/15/2009 Correction Date: 06/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/15/2009 Correction Date: 06/30/2009
Get Rid of Garbage Properly. Inspection Date: 05/15/2009 Correction Date: 06/12/2009
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 05/15/2009 Correction Date: 06/12/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 05/27/2011 Correction Date: 07/25/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/15/2009 Correction Date: 06/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/27/2011 Correction Date: 06/10/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 05/15/2009 Correction Date: 06/12/2009

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: 05/15/2009 Correction Date: 06/30/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/15/2009 Correction Date: 06/30/2009

Resident Assessment

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: 05/15/2009 Correction Date: 06/30/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/15/2009 Correction Date: 06/30/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/27/2011 Correction Date: 07/08/2011

The table below lists incident reports by the nursing staff or administration for Mt. Macrina Manor, as well as complaints by residents or their family in the previous three years.

Resident Rights

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: 07/01/2010 Correction Date: 08/05/2010

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 Mt. Macrina Manor 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 05/27/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/06/2009 Correction Date: 07/01/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 06/15/2010 Correction Date: 07/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/06/2009 Correction Date: 07/01/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/06/2009 Correction Date: 07/01/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/06/2009 Correction Date: 07/01/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/06/2009 Correction Date: 07/01/2009
Exits That Are Accessible at All Times. Inspection Date: 06/15/2010 Correction Date: 07/26/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/06/2009 Correction Date: 07/01/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 06/15/2010 Correction Date: 07/26/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/06/2009 Correction Date: 07/01/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/06/2009 Correction Date: 07/01/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/06/2009 Correction Date: 07/01/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/15/2010 Correction Date: 07/26/2010