LUTHER ACRES MANOR (LITITZ, PA) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.770
Pennsylvania:	0.760

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

This Nursing Home:	1.090
State:	0.830

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.860
State:	1.587

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.090
Pennsylvania:	0.089

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.090
Pennsylvania:	0.090

Complaint Deficiency

Determine if it is safe for the resident to self-administer drugs
- 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
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
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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide routine and 24-hour emergency dental care for each resident
- 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
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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: Many
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Did not have a written emergency evacuation plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Restrictions on the use of highly flammable materials
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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
Properly located and lighted Exit signs
- 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
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for 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
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

Quality Measures

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

This Nursing Home:	14.6%
State:	15.9%

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

This Nursing Home:	5.1%
Pennsylvania:	10.2%

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

Here:	3.5%
Pennsylvania:	5.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	8.4%
Pennsylvania:	7.4%

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

Here:	63.6%
Pennsylvania:	56.0%

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

Here:	2.6%
Pennsylvania:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	2.1%
State:	5.3%

Percent of long-stay residents who have depressive symptoms

Here:	7.4%
State:	4.6%

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

Here:	4.2%
State:	3.0%

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

This Nursing Home:	99.0%
State:	95.1%

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

This Nursing Home:	83.3%
State:	94.5%

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

This Nursing Home:	5.8%
State:	21.2%

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

This Nursing Home:	5.5%
Pennsylvania:	1.6%

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

Here:	66.1%
State:	85.6%

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

This Nursing Home:	55.4%
Pennsylvania:	84.4%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	24.0%
State:	22.2%

LUTHER ACRES MANOR - LITITZ, PA

Staff Information

Complaint Deficiency

Quality Measures

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