EDINBORO MANOR
Address
419 WATERFORD STREET
EDINBORO, PA 16412
(814) 734-5021
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: 105
- 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 Edinboro Manor. 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 Plus Extensive Services
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-16 | 0.4% |
ADL Index Range: 2-10 | 0.4% |
Total Percent: | 0.9% |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 11-16 | 21.0% |
ADL Index Range: 6-10 | 27.7% |
ADL Index Range: 0-5 | 29.2% |
Total Percent: | 77.9% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 4.0% |
ADL Index Range: 6-10 | 1.6% |
ADL Index Range: 0-5 | 2.0% |
Total Percent: | 7.6% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 4.7% |
Total Percent: | 4.7% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-10 | 2.9% |
Total Percent: | 2.9% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14 - No Signs of depression | 4.3% |
ADL Index Range: 6-10 - No Signs of depression | 1.0% |
Total Percent: | 5.3% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14 - No Signs of depression | 0.3% |
ADL Index Range: 2-5 - No Signs of depression | 0.3% |
Total Percent: | 0.6% |
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 | 0.1% |
Total Percent: | 0.1% |
Rating Details For Edinboro Manor
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 | 36 Minutes | 1 Hour and 14 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 50 Minutes | 44 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 4 Minutes | 2 Hours and 35 Minutes |
Total Licensed Nurse Hours | 1 Hour and 26 Minutes | 1 Hour and 58 Minutes |
Total Nurse Hours | 3 Hours and 30 Minutes | 4 Hours and 33 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 Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 68% | 90% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 11% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
Percent of Long-Stay Residents Who Were Physically Restrained | 3% | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 10% | 18% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 8% |
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 | 3% | 3% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 22% | 19% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 4% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 17% | 7% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 61% | 63% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 84% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 72% | 84% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 13% |
Percent of Short-Stay Residents Who Have Delirium | - | 3% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 26% | 20% |
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 10/28/2010.
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
Hire a Qualified Activities Director.
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Keep Accurate and Appropriate Medical Records.
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Have a Detailed, Written Plan for Disasters and Emergencies.
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Give or Get Lab Tests to Meet the Needs of Residents.
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Keep Signed and Dated Reports of X-Rays and Other Tests.
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Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
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Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Quality Care
Provide Activities to Meet the Needs of Each Resident.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give or Get Dental Care for Each Resident.
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Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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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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Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
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Make Sure That Doctors Visit Residents Regularly, As Required.
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Resident Rights
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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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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Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Edinboro Manor, 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 |
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.
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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 Edinboro 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 10/12/2010.
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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Portable Fire Extinguishers.
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Portable Fire Extinguishers.
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Portable Fire Extinguishers.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
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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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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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