QUEEN OF PEACE RESIDENCE

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 New York 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

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 11/19/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/19/2008 Correction Date: 01/19/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/19/2008 Correction Date: 11/20/2008
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 11/19/2008 Correction Date: 01/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/19/2010 Correction Date: 01/15/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 11/19/2010 Correction Date: 01/15/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/19/2008 Correction Date: 01/19/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/19/2010 Correction Date: 01/15/2011

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: 11/19/2010 Correction Date: 01/15/2011

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 11/19/2008 Correction Date: 01/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/19/2010 Correction Date: 01/15/2011
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: 11/19/2010 Correction Date: 01/15/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/19/2010 Correction Date: 01/15/2011

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 Queen of Peace Residence 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 11/19/2010.

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 11/25/2009 Correction Date: 01/27/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/19/2008 Correction Date: 01/19/2009

Fire Alarm Systems

An Automatic Smoke Detection System in All Hallways. Inspection Date: 11/19/2010 Correction Date: 01/15/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/19/2008 Correction Date: 01/10/2009

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 11/19/2008 Correction Date: 01/10/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/19/2010 Correction Date: 01/15/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 11/19/2008 Correction Date: 12/10/2008
Doors of Sufficient Width and Proper Construction in Smoke Barriers. Inspection Date: 11/19/2008 Correction Date: 01/01/1900