MARY ELLEN CONVALESCENT HOME

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

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 10/21/2010.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 09/25/2008 Correction Date: 10/20/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 10/15/2009 Correction Date: 12/10/2009
Keep Temperature Levels Comfortable and Safe. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Get Rid of Garbage Properly. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Have Enough Outside Airflow. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/15/2009 Correction Date: 12/10/2009
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: 10/21/2010 Correction Date: 12/20/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 09/25/2008 Correction Date: 10/28/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/25/2008 Correction Date: 10/20/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/25/2008 Correction Date: 10/20/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/25/2008 Correction Date: 10/20/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/25/2008 Correction Date: 10/20/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/15/2009 Correction Date: 12/10/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Give or Get Dental Care for Each Resident. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Have a Private Telephone Available for Use. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/21/2010 Correction Date: 12/20/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 10/21/2010 Correction Date: 12/20/2010

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 Mary Ellen Convalescent Home, as well as complaints by residents or their family in the previous three years.

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Complaint Filed: 08/20/2008 Correction Date: 09/15/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Complaint Filed: 08/20/2008 Correction Date: 09/15/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 09/12/2008 Correction Date: 10/03/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Complaint Filed: 09/12/2008 Correction Date: 10/03/2008

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. Complaint Filed: 08/20/2008 Correction Date: 09/15/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 08/20/2008 Correction Date: 09/15/2008
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. Complaint Filed: 08/13/2009 Correction Date: 09/15/2009
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. Complaint Filed: 01/21/2011 Correction Date: 02/28/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Complaint Filed: 08/20/2008 Correction Date: 09/15/2008
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: 08/13/2009 Correction Date: 09/15/2009

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 Mary Ellen Convalescent 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 10/29/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 10/07/2008 Correction Date: 12/09/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/07/2008 Correction Date: 12/09/2008

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/07/2008 Correction Date: 12/09/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/07/2008 Correction Date: 12/09/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/07/2008 Correction Date: 12/09/2008

Exit and Exit Access

At Least Two Remote Exits on Each Floor or Fire Section of the Building. Inspection Date: 10/07/2008 Correction Date: 12/09/2008

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 10/07/2008 Correction Date: 12/09/2008