LUTHERAN NURSING AND REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Lutheran Nursing and Rehab Center. 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

LUTHERAN NURSING AND REHAB CENTER
1801 FOLKEMER CIRCLE
YORK, PA 17404
(717) 767-5404

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 94
  • Certified Beds: 104

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Part of a Chain or Franchise

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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 "Very 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 Lutheran Nursing and Rehab Center. 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

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1619.1%
ADL Index Range: 6-106.1%
ADL Index Range: 0-51.2%
Total Percent:26.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1634.5%
ADL Index Range: 6-1016.7%
ADL Index Range: 0-51.2%
Total Percent:52.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.8%
ADL Index Range: 6-102.5%
Total Percent:10.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-166.8%
ADL Index Range: 0-51.0%
Total Percent:7.7%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.6%
Total Percent:0.6%
 

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
1.2%
Total Percent:1.2%
 

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: 11-14
- Less restorative nursing
1.2%
Total Percent:1.2%
 

Rating Details For Lutheran Nursing and Rehab Center

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) Hours33 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours56 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 15 Minutes2 Hours and 51 Minutes
Total Licensed Nurse Hours1 Hour and 29 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 44 Minutes4 Hours and 50 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 FacilityPennsylvania Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%5%
Percent of Long-Stay Residents Who Lose Too Much Weight5%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious28%19%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder66%63%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%17%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season78%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Have Pressure Sores10%13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%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 04/22/2011.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/30/2009
  • Correction Date: 06/05/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/01/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/01/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/22/2011
  • Correction Date: 05/31/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/01/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/01/2010

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: 03/09/2010
  • Correction Date: 05/01/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/01/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/01/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/22/2011
  • Correction Date: 05/31/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/22/2011
  • Correction Date: 05/31/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/01/2010
Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 04/22/2011
  • Correction Date: 05/31/2011

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 Lutheran Nursing and Rehab Center 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 04/27/2011.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/06/2009
  • Correction Date: 05/08/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/27/2011
  • Correction Date: 05/31/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 04/27/2011
  • Correction Date: 05/31/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/06/2009
  • Correction Date: 05/08/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/27/2011
  • Correction Date: 05/31/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/27/2011
  • Correction Date: 05/31/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 04/27/2011
  • Correction Date: 05/31/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/27/2011
  • Correction Date: 05/31/2011
Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011