MIDTOWN MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Midtown Manor. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MIDTOWN MANOR
125 SOUTH 900 WEST
SALT LAKE CITY, UT 84104
(801) 363-6340

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 79
  • Certified Beds: 82

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from November 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 Midtown Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1693.3%
ADL Index Range: 6-106.7%
Total Percent:100.0%
 

Rating Details For Midtown 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 DayReportedExpected
Registered Nurse (RN) Hours41 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours18 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours59 Minutes1 Hour and 38 Minutes
Total Nurse Hours3 Hours and 22 Minutes4 Hours and 9 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 Utah are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityUtah Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%6%
Percent of Long-Stay Residents Who Lose Too Much Weight3%6%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse2%13%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%15%
Percent of Long-Stay Residents Who Are More Depressed or Anxious2%22%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-5%

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 06/17/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Have Enough Outside Airflow.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010

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: 02/04/2008
  • Correction Date: 03/28/2008
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.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009

Nutrition and Dietary

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: 02/04/2008
  • Correction Date: 03/28/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 02/04/2008
  • Correction Date: 03/28/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010

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: 03/05/2009
  • Correction Date: 04/24/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/05/2009
  • Correction Date: 04/24/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 06/17/2010
  • Correction Date: 07/30/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Midtown 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 ComplaintsDegree of HarmResidents 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.
  • Complaint Filed: 05/14/2009
  • Correction Date: 06/15/2009

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 Midtown 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 06/22/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/12/2008
  • Correction Date: 03/28/2008

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 02/12/2008
  • Correction Date: 03/28/2008
Approved Construction Type or Materials.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/16/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/12/2008
  • Correction Date: 03/28/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/31/2009
  • Correction Date: 05/08/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/30/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/12/2008
  • Correction Date: 03/28/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/31/2009
  • Correction Date: 05/08/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/16/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/16/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/31/2009
  • Correction Date: 05/08/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 02/12/2008
  • Correction Date: 03/28/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/31/2009
  • Correction Date: 05/08/2009

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/30/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/23/2010
Source: Medicare Nursing Home Compare; Dept of Health of Utah - Bureau of Medicare/Medicaid Program-Certification and Resident Assessment - Retrieved 2011