MT LORETTO NURSING HOME INC
Address
302 SWART HILL ROAD
AMSTERDAM, NY 12010
(518) 842-6790
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
70%Number of Residents and Certified Beds
- Residents: 84
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- 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 "Special Care Low". 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 Mt Loretto Nursing Home Inc. 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 |
Extensive Services
- 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: 2-16 - Isolation for active infectious disease | 20.0% |
| Total Percent: | 20.0% |
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: 11-14 - No Signs of depression | 16.7% |
| Total Percent: | 16.7% |
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: 15-16 - No Signs of depression | 20.0% |
| ADL Index Range: 11-14 - No Signs of depression | 13.3% |
| Total Percent: | 33.3% |
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 | 30.0% |
| Total Percent: | 30.0% |
Rating Details For Mt Loretto Nursing Home Inc
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 | 41 Minutes | 54 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 59 Minutes | 39 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 60 Minutes | 2 Hours and 31 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 40 Minutes | 1 Hour and 33 Minutes |
| Total Nurse Hours | 3 Hours and 40 Minutes | 4 Hours and 4 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 New York are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | New York Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Lose Too Much Weight | 6% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 3% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 3% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 18% | 14% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 14% | 13% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 3% | 8% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 8% | 13% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 49% | 53% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 9% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 14% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 4% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 84% | 87% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 85% | 87% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 3% | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 10% | 16% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 10% | 15% |
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 10/20/2010.
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 |
Environmental
Get Rid of Garbage Properly.
|  |  |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
|  | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
| |  |
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Enforcement
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.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 09/12/2008 | $1,250 |
| Civil Money Penalty (CMP) | 01/20/2009 | $9,360 |
| Civil Money Penalty (CMP) | 09/12/2008 | $25,000 |
| Civil Money Penalty (CMP) | 01/20/2009 | $68,250 |
| Denial of Payment for New Admission (DPNA) | 01/20/2009 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Mt Loretto Nursing Home Inc, 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 |
Administration
Set Up or Keep a Group of People to Review and Ensure Quality.
| | |
Set Up or Keep a Group of People to Review and Ensure Quality.
|  |  |
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
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1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
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Set Up or Keep a Group of People to Review and Ensure Quality.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
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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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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
|  | |
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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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.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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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 Mt Loretto Nursing Home Inc 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 10/20/2010.
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 |
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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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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Vertical Openings
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
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