LITTLE FLOWER MANOR OF DIOCESE

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 Little Flower Manor of Diocese. 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

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 09/30/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 10/02/2008 Correction Date: 12/01/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/30/2010 Correction Date: 11/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/30/2010 Correction Date: 11/15/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/18/2009 Correction Date: 11/12/2009

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
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: 09/18/2009 Correction Date: 11/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/30/2010 Correction Date: 11/15/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
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: 09/18/2009 Correction Date: 11/12/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
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: 09/30/2010 Correction Date: 11/15/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/30/2010 Correction Date: 11/15/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
Give or Get Dental Care for Each Resident. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/30/2010 Correction Date: 11/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/30/2010 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: 09/30/2010 Correction Date: 11/15/2010

Resident Assessment

Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/18/2009 Correction Date: 11/12/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 09/18/2009 Correction Date: 11/12/2009

Resident Rights

Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 10/02/2008 Correction Date: 12/01/2008
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. Inspection Date: 09/30/2010 Correction Date: 11/15/2010

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 Little Flower Manor of Diocese, as well as complaints by residents or their family in the previous three years.

Administration

Quickly Tell the Resident's Doctor the Results of Lab Tests. Complaint Filed: 06/18/2009 Correction Date: 08/03/2009
Keep Accurate and Appropriate Medical Records. Complaint Filed: 06/18/2009 Correction Date: 08/03/2009

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Complaint Filed: 04/15/2008 Correction Date: 06/13/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Complaint Filed: 04/15/2008 Correction Date: 06/13/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 10/02/2008 Correction Date: 12/01/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 06/18/2009 Correction Date: 08/03/2009

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 10/02/2008 Correction Date: 12/01/2008
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: 06/18/2009 Correction Date: 08/03/2009

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 Little Flower Manor of Diocese 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 09/08/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/03/2009 Correction Date: 10/05/2009
Portable Fire Extinguishers. Inspection Date: 09/08/2010 Correction Date: 11/12/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/10/2008 Correction Date: 11/01/2008

Building Service Equipment

Properly Constructed Linen or Trash Chutes. Inspection Date: 09/03/2009 Correction Date: 10/05/2009
Properly Constructed Linen or Trash Chutes. Inspection Date: 09/08/2010 Correction Date: 11/12/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/10/2008 Correction Date: 11/01/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/10/2008 Correction Date: 11/01/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/08/2010 Correction Date: 11/12/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/08/2010 Correction Date: 11/12/2010

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 10/10/2008 Correction Date: 11/01/2008
Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 09/03/2009 Correction Date: 10/05/2009
Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 09/08/2010 Correction Date: 11/12/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/03/2009 Correction Date: 10/05/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/08/2010 Correction Date: 11/12/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/10/2008 Correction Date: 11/01/2008