RHEEMS NURSING AND REHABILITATION CENTER
Address
141 HEISEY AVENUE
ELIZABETHTOWN, PA 17022
(717) 367-1831
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: 44
- Certified Beds: 45
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
Resident Services
The information below lists services this facility has provided for residents from October through October 2010. During this period, the most common type of service provided was "Reduced Physical Function". 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 Rheems Nursing and Rehabilitation Center. 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 |
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: 2-5 - Less restorative nursing | 100.0% |
Total Percent: | 100.0% |
Rating Details For Rheems Nursing and Rehabilitation Center
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 | 39 Minutes | 1 Hour and 10 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 33 Minutes | 41 Minutes |
Certified Nursing Assistant (CNA) Hours | 1 Hour and 58 Minutes | 2 Hours and 40 Minutes |
Total Licensed Nurse Hours | 1 Hour and 12 Minutes | 1 Hour and 51 Minutes |
Total Nurse Hours | 3 Hours and 10 Minutes | 4 Hours and 30 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 Facility | Pennsylvania Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 3% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 5% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 20% | 17% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 16% | 18% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 18% | 19% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 4% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 65% | 63% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 11% | 11% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 8% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 7% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 84% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | 2% | 3% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 21% | 20% |
Percent of Short-Stay Residents Who Have Pressure Sores | 9% | 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 01/28/2011.
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
Keep Accurate and Appropriate Medical Records.
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Environmental
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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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
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
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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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Rheems Nursing and Rehabilitation Center, 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 |
Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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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 Rheems Nursing and Rehabilitation Center 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 01/12/2011.
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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Properly Working Alarms on Sprinkler Valves.
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Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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A Two-Hour-Resistant Firewall in Common Walls.
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Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
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Restrictions on the Use of Portable Space Heaters.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Properly Installed Electrical Wiring and Equipment.
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Emergency Plans and Fire Drills
Did Not Have a Written Emergency Evacuation Plan.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Exits and Egress
Exits That Are Accessible at All Times.
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Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
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Exits That Are Accessible at All Times.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
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Properly Located and Lighted "Exit" Signs.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
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Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
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