JEFFERSON MANOR HEALTH CENTER - BROOKVILLE, PA

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Addresss:

417 ROUTE 28
BROOKVILLE, PA, 15825

Phone (make sure to verify first before calling): (814) 849-8026

Number of Certified Beds: 160
Total Number of Residents: 134
Percent of Occupied Beds: 84%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 9.71

Administrative Staff - Part Time: 1.00

Certified Nurse Aides - Full Time: 44.63

Certified Nurse Aides - Part Time: 4.33

Food Service Personnel - Full Time: 18.00

Food Service Personnel - Part Time: 1.34

Housekeeping Personnel - Full Time: 7.93

Licensed Practical/ Vocational Nurses - Full Time: 25.16

Licensed Practical/ Vocational Nurses - Part Time: 2.26

Nurses With Administrative Duties - Full Time: 7.19

Persons Not Included In Any Other Categories - Full Time: 4.23

Registered Nurses - Full Time: 13.19

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 2.63

Activities Professionals - Full Time: 1.31

Activities Professionals - Part Time: 0.50

Dietitians - Part Time: 0.40

Sppech Pathologists - Full Time: 1.14

Persons Not Included In Any Other Categories - Part Time: 1.26

Housekeeping Personnel - Part Time: 3.54

Occupational Therapists - Full Time: 2.06

Physical Therapists - Full Time: 0.90

Occupational Therapy Assistants - Full Time: 2.29

Physical Therapy Aide - Full Time: 1.03

Licensed Practical/ Vocational Nurses - Under Contract: 2.70

Occupational Therapy Assistants - Part Time: 0.73

Speech Pathologists - Part Time: 0.69

Certified Nurse Aides - Under Contract: 1.89

Number Of Beds

Total: 160

Total Certified: 160

For Residents With Alzeheimers: 45

For Residents With Specialized Rehab Needs: 22

Provided Services

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Offsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Offsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Offsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Non Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Complaint Deficiency

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridors or aisles that are unobstructed and are at least 8 feet in width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.830
State:	0.760

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.130
Pennsylvania:	0.830

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.960
Pennsylvania:	1.587

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.010
State:	0.089

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
Pennsylvania:	0.090

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	18.3%
Pennsylvania:	15.9%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	7.0%
State:	10.2%

Percent of long-stay high-risk residents with pressure ulcers

Here:	9.0%
Pennsylvania:	5.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	7.4%
Pennsylvania:	7.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	45.9%
Pennsylvania:	56.0%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	6.0%
Pennsylvania:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	18.2%
State:	5.3%

Percent of long-stay residents who have depressive symptoms

Here:	18.5%
State:	4.6%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	3.3%
Pennsylvania:	3.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.4%
Pennsylvania:	95.1%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	91.1%
Pennsylvania:	94.5%

Percent of short-stay residents who self-report moderate to severe pain

Here:	12.8%
State:	21.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	2.1%
State:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	94.1%
Pennsylvania:	85.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	90.8%
State:	84.4%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	6.5%
State:	2.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	27.8%
State:	22.2%

JEFFERSON MANOR HEALTH CENTER - BROOKVILLE, PA

Complaint Deficiency

Staff Information

Quality Measures

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