MT LORETTO NURSING HOME INC

The information listed below provides an in-depth look into the type and quality of care offered at Mt Loretto Nursing Home Inc. 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

MT LORETTO NURSING HOME INC
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

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Nearby Cities:

Scotia | Niskayuna | Schenectady

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 ServicesResident ConditionsPercent 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 DayReportedExpected
Registered Nurse (RN) Hours41 Minutes54 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours59 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 60 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours1 Hour and 40 Minutes1 Hour and 33 Minutes
Total Nurse Hours3 Hours and 40 Minutes4 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 FacilityNew York Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight6%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores6%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse14%13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder49%53%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%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 Vaccination84%87%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain10%16%
Percent of Short-Stay Residents Who Have Pressure Sores10%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 InspectorsDegree of HarmResidents Affected

Environmental

Get Rid of Garbage Properly.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/20/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/07/2010
  • Correction Date: 02/26/2010

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: 07/23/2009
  • Correction Date: 09/20/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/20/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/20/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/07/2010
  • Correction Date: 02/26/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/07/2010
  • Correction Date: 02/26/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 01/07/2010
  • Correction Date: 02/26/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/20/2009

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 TakenDateAmount
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 ComplaintsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 09/12/2008
  • Correction Date: 10/20/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 01/20/2009
  • Correction Date: 04/01/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 01/20/2009
  • Correction Date: 04/01/2009
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.
  • Complaint Filed: 01/20/2009
  • Correction Date: 04/01/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 07/23/2009
  • Correction Date: 09/20/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 09/12/2008
  • Correction Date: 10/20/2008
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 01/20/2009
  • Correction Date: 04/01/2009
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: 01/20/2009
  • Correction Date: 04/01/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 07/06/2010
  • Correction Date: 08/30/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 04/04/2008
  • Correction Date: 05/19/2008
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Complaint Filed: 04/04/2008
  • Correction Date: 05/19/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/30/2008
  • Correction Date: 06/30/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/12/2008
  • Correction Date: 10/20/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 01/20/2009
  • Correction Date: 04/01/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 07/23/2009
  • Correction Date: 09/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/06/2010
  • Correction Date: 08/30/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/27/2011
  • Correction Date: 07/15/2011

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.
  • Complaint Filed: 09/12/2008
  • Correction Date: 10/20/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 01/20/2009
  • Correction Date: 04/01/2009

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 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 InspectorsDegree of HarmResidents Affected

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/07/2010
  • Correction Date: 02/26/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/20/2010
  • Correction Date: 11/30/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/07/2010
  • Correction Date: 02/26/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/20/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/20/2009
Source: Medicare Nursing Home Compare; New York State Department of Health - Retrieved 2011