LAKESIDE AT WILLOW VALLEY - WILLOW STREET, PA

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Addresss:

300 WILLOW VALLEY LAKES DRIVE
WILLOW STREET, PA, 17584

Phone (make sure to verify first before calling): (717) 464-9542

Number of Certified Beds: 80
Total Number of Residents: 78
Percent of Occupied Beds: 98%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
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: 5 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 3 Stars

Other nearby hospitals and nursing homes

COMMUJITY SERVICES GROUP, INC (WILLOW, 0.52 miles)
COMMUNITY HOSP LANCASTER HHC (LANCASTER, 3.88 miles)
CONESTOGA VIEW (LANCASTER, 3.79 miles)
GLEN AT WILLOW VALLEY, THE (LANCASTER, 0.84 miles)
LANCASTER CO HOME CONESTOGA VIEW (LANCASTER, 3.79 miles)
DAVITA - LANCASTER (LANCASTER, 3.60 miles)
WILLOW VALLEY MANOR HEALTHCARE (LANCASTER, 0.85 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.90

Administrative Staff - Part Time: 2.40

Certified Nurse Aides - Full Time: 23.86

Certified Nurse Aides - Part Time: 4.27

Food Service Personnel - Full Time: 11.81

Food Service Personnel - Part Time: 1.81

Housekeeping Personnel - Full Time: 6.17

Licensed Practical/ Vocational Nurses - Full Time: 6.13

Licensed Practical/ Vocational Nurses - Part Time: 1.51

Medical Directors - Under Contract: 0.09

Mental Health Services Personnel - Under Contract: 0.04

Nurses With Administrative Duties - Full Time: 1.11

Persons Not Included In Any Other Categories - Full Time: 1.70

Registered Nurses - Full Time: 3.79

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 1.14

Activities Professionals - Full Time: 1.14

Occupational Therapists - Part Time: 0.47

Physical Therapists - Part Time: 0.46

Speech Pathologists - Under Contract: 0.24

Registered Nurses - Under Contract: 0.23

Dietitians - Full Time: 0.29

Registered Nurses - Part Time: 0.66

Occupational Therapists - Full Time: 0.51

Physical Therapists - Full Time: 0.53

Physical Therapy Aide - Full Time: 1.10

Licensed Practical/ Vocational Nurses - Under Contract: 0.11

Occupational Therapy Assistants - Part Time: 0.24

Speech Pathologists - Part Time: 0.06

Certified Nurse Aides - Under Contract: 0.33

Number Of Beds

Total: 60

Total Certified: 60

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite 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 Onsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

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

Here:	14.5%
State:	15.9%

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

Here:	11.9%
State:	10.2%

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

Here:	3.4%
State:	5.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.6%
Pennsylvania:	7.4%

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

Here:	75.5%
Pennsylvania:	56.0%

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

Here:	3.5%
State:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.1%
Pennsylvania:	5.3%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.4%
Pennsylvania:	4.6%

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

Here:	1.4%
Pennsylvania:	3.0%

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

Here:	100.0%
State:	95.1%

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

Here:	100.0%
Pennsylvania:	94.5%

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

This Nursing Home:	20.0%
Pennsylvania:	21.2%

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

Here:	100.0%
Pennsylvania:	85.6%

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

Here:	100.0%
Pennsylvania:	84.4%

Percent of long-stay residents who received an antipsychotic medication

Here:	13.5%
Pennsylvania:	22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.380
State:	0.760

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

Here:	1.100
Pennsylvania:	0.830

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.470
State:	1.587

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.040
State:	0.089

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.040
Pennsylvania:	0.090

Complaint Deficiency

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- 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
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- 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: Some
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper exit design
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Hire only people with 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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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 each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- 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
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Some
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few

LAKESIDE AT WILLOW VALLEY - WILLOW STREET, PA

Quality Measures

Staff Information

Complaint Deficiency

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