BISHOP CHARLES WALDO MACLEAN EPISCOPAL NURSING HOME

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 "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 Bishop Charles Waldo Maclean Episcopal Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Low Rehabilitation

Special Care Low

Reduced Physical Function

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

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 03/29/2011.

Administration

Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/29/2011 Correction Date: 05/28/2011
Give or Get X-Rays and Other Tests to Meet the Needs of Residents. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/29/2011 Correction Date: 05/28/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

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: 12/17/2009 Correction Date: 02/14/2010
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
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: 07/20/2010 Correction Date: 09/18/2010
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: 03/29/2011 Correction Date: 05/28/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
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: 12/17/2009 Correction Date: 02/14/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/17/2009 Correction Date: 02/14/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/20/2010 Correction Date: 09/18/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Make Sure That a Resident Does Not Become Withdrawn, Angry or Depressed if These Problems Did Not Exist Before. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/29/2011 Correction Date: 05/28/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/29/2011 Correction Date: 05/28/2011
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: 03/29/2011 Correction Date: 05/28/2011

Resident Assessment

Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

Resident Rights

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. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
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: 03/29/2011 Correction Date: 05/28/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/29/2011 Correction Date: 05/28/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

The table below lists incident reports by the nursing staff or administration for Bishop Charles Waldo Maclean Episcopal Nursing Home, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 02/20/2009 Correction Date: 03/31/2009

Resident Assessment

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. Complaint Filed: 08/22/2008 Correction Date: 09/22/2008

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 Bishop Charles Waldo Maclean Episcopal Nursing Home 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 03/29/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 12/17/2009 Correction Date: 02/14/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 03/29/2011 Correction Date: 05/27/2011
Approved Construction Type or Materials. Inspection Date: 03/29/2011 Correction Date: 05/27/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/29/2011 Correction Date: 05/28/2011
A Separate and Independent Backup Electrical Power Source. Inspection Date: 03/29/2011 Correction Date: 05/28/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 07/20/2010 Correction Date: 09/18/2010
Exits That Are Accessible at All Times. Inspection Date: 07/20/2010 Correction Date: 09/18/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 07/20/2010 Correction Date: 09/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/29/2011 Correction Date: 05/27/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/20/2010 Correction Date: 09/18/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/29/2011 Correction Date: 05/28/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/29/2011 Correction Date: 05/27/2011

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 03/29/2011 Correction Date: 05/27/2011
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 03/29/2011 Correction Date: 05/27/2011
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 03/29/2011 Correction Date: 05/28/2011