CHATHAM ACRES
Address
315 EAST LONDON GROVE ROAD, PO BOX 1
CHATHAM, PA 19318
(610) 869-2456
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: 95
- Certified Beds: 121
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 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 Chatham Acres. 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 | 2.8% |
ADL Index Range: 6-10 | 11.0% |
ADL Index Range: 0-5 | 37.5% |
Total Percent: | 51.3% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 1.0% |
ADL Index Range: 6-10 | 9.0% |
ADL Index Range: 0-5 | 12.7% |
Total Percent: | 22.7% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 1.2% |
ADL Index Range: 6-10 | 4.8% |
ADL Index Range: 0-5 | 10.4% |
Total Percent: | 16.4% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-10 | 2.0% |
ADL Index Range: 0-5 | 5.3% |
Total Percent: | 7.3% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5 - Less restorative nursing | 0.3% |
ADL Index Range: 0-1 - Less restorative nursing | 0.6% |
Total Percent: | 0.9% |
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: 6-10 - Less restorative nursing | 1.1% |
ADL Index Range: 0-1 - Less restorative nursing | 0.2% |
Total Percent: | 1.3% |
Rating Details For Chatham Acres
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 8 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 15 Minutes | 37 Minutes |
Certified Nursing Assistant (CNA) Hours | 1 Hour and 51 Minutes | 2 Hours and 10 Minutes |
Total Licensed Nurse Hours | 1 Hour and 54 Minutes | 1 Hour and 46 Minutes |
Total Nurse Hours | 3 Hours and 45 Minutes | 3 Hours and 55 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 Spend Most of Their Time in Bed or in a Chair | 1% | 4% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 8% | 5% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 18% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 6% | 7% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 9% | 11% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 40% | 63% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 19% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 17% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 3% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 8% |
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 | 85% | 84% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 3% | 20% |
Percent of Short-Stay Residents Who Have Pressure Sores | 3% | 13% |
Percent of Short-Stay Residents Who Have Delirium | - | 3% |
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 06/20/2011.
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
Keep Accurate and Appropriate Medical Records.
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Hire a Qualified Activities Director.
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Follow All Laws and Professional Standards.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
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Keep Accurate and Appropriate Medical Records.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Environmental
Provide Rooms That Are Big Enough for Each Resident.
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Provide Rooms That Are Big Enough for Each Resident.
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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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Provide Rooms That Are Big Enough for Each Resident.
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Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
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Pharmacy Service
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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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 Professional Services That Meet a Professional Standard of Quality.
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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
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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Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
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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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1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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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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Make Sure That Doctors Visit Residents Regularly, As Required.
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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.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Chatham Acres, 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 |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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