LIVINGSTON COUNTY CENTER FOR NURSING AND REHAB - MOUNT MORRIS, NY

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Addresss:

11 MURRAY HILL DRIVE
MOUNT MORRIS, NY, 14510

Phone (make sure to verify first before calling): (585) 243-7800

Number of Certified Beds: 266
Total Number of Residents: 248
Percent of Occupied Beds: 93%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 2 Stars

Other nearby hospitals and nursing homes

WYOMING CO DOH CHHA (SILVER SPRINGS, 12.63 miles)
CONESUS LAKE NURSING HOME (LIVONIA, 11.89 miles)
EAST SIDE NURSING HOME (WARSAW, 12.66 miles)
FINGER LAKES DDSO (NUNDA, 10.98 miles)
LIVINGSTON CO DOH HHA (0.39 miles)
MANOR OAK SKILLED NURSING FACILITIES WARSAW (WARSAW, 12.91 miles)
WYOMING COUNTY COMMUNITY HOSPITAL (WARSAW, 12.92 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 24.84

Administrative Staff - Part Time: 1.30

Certified Nurse Aides - Full Time: 113.84

Certified Nurse Aides - Part Time: 29.57

Dietitians - Under Contract: 0.51

Housekeeping Personnel - Full Time: 18.24

Licensed Practical/ Vocational Nurses - Full Time: 32.89

Licensed Practical/ Vocational Nurses - Part Time: 20.30

Mental Health Services Personnel - Under Contract: 0.23

Nurses With Administrative Duties - Full Time: 8.81

Persons Not Included In Any Other Categories - Full Time: 3.36

Registered Nurses - Full Time: 10.79

Rn Director Of Nursing - Full Time: 1.00

Social Workers - Full Time: 5.76

Dentists - Under Contract: 0.11

Medical Directors - Part Time: 0.20

Nurses With Administrative Duties - Part Time: 1.69

Administrative Staff - Under Contract: 0.46

Food Service Personnel - Under Contract: 35.54

Podiatrists - Under Contract: 0.11

Sppech Pathologists - Full Time: 1.14

Persons Not Included In Any Other Categories - Part Time: 5.27

Registered Nurses - Part Time: 1.14

Housekeeping Personnel - Part Time: 13.11

Occupational Therapists - Full Time: 2.13

Physical Therapists - Full Time: 2.23

Occupational Therapy Assistants - Full Time: 1.14

Physical Therapy Aide - Full Time: 0.93

Licensed Practical/ Vocational Nurses - Under Contract: 1.33

Nurses With Administrative Duties - Under Contract: 0.26

Certified Nurse Aides - Under Contract: 16.34

Number Of Beds

Total: 266

Total Certified: 266

For Residents With Specialized Rehab Needs: 26

For Residents Needing Hospice Services: 2

Provided Services

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 Non 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

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 Non Residents

Social Work Services Are Provided Onsite 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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.420
New York:	0.637

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

Here:	0.930
New York:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.350
State:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
New York:	0.080

Number Therapy Hours Per Resident Per Day

Here:	0.030
State:	0.081

Quality Measures

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

This Nursing Home:	27.5%
State:	15.6%

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

This Nursing Home:	4.5%
State:	7.6%

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

Here:	9.1%
State:	8.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	10.0%
New York:	6.4%

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

This Nursing Home:	53.6%
New York:	41.1%

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

Here:	5.3%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.6%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	6.4%
New York:	12.6%

Percent of long-stay residents who were physically restrained

Here:	0.4%
New York:	2.3%

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

This Nursing Home:	5.5%
New York:	2.9%

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

Here:	97.5%
State:	96.7%

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

This Nursing Home:	98.7%
New York:	97.3%

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

Here:	9.6%
State:	16.9%

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

This Nursing Home:	1.4%
New York:	1.8%

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

Here:	92.6%
New York:	86.9%

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

This Nursing Home:	90.8%
State:	85.0%

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

This Nursing Home:	0.9%
State:	3.1%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	25.7%
State:	20.8%

Complaint Deficiency

Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide doctors orders for the resident's immediate care, at the time the resident was admitted
- Harm: Actual harm
- Scope: Some
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Potential for minimal harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- 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: Potential for minimal harm
- Scope: Many
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
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Restrictions on the use of highly flammable materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: 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: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- 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 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
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: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- 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
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

LIVINGSTON COUNTY CENTER FOR NURSING AND REHAB - MOUNT MORRIS, NY

Staff Information

Quality Measures

Complaint Deficiency

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