MCAULEY MANOR AT MERCYCARE (HORNELL, NY) Detailed Nursing Home Profile

Quality Measures

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

Here:	7.8%
New York:	15.6%

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

Here:	9.6%
New York:	7.6%

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

Here:	6.5%
New York:	8.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.4%
State:	6.4%

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

This Nursing Home:	48.6%
New York:	41.1%

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

This Nursing Home:	1.8%
State:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	5.7%
New York:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	2.9%
New York:	12.6%

Percent of long-stay residents who were physically restrained

Here:	2.8%
State:	2.3%

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

This Nursing Home:	4.7%
New York:	2.9%

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

This Nursing Home:	99.1%
State:	96.7%

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

Here:	98.1%
State:	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

Here:	5.7%
State:	1.8%

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

This Nursing Home:	95.7%
State:	86.9%

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

Here:	97.8%
New York:	85.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	20.0%
New York:	20.8%

Complaint Deficiency

Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- 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
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- 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
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: Some
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
Exits that are accessible at all times
- 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: Some
Proper medical gas storage and administration areas
- 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: Many
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Some
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
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Signs that state that exit doors are to be kept closed
- 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
Try to resolve each resident's complaints quickly
- Harm: Potential for minimal harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.750
New York:	0.637

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

Here:	0.680
New York:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.420
State:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.060
State:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.060
New York:	0.081

MCAULEY MANOR AT MERCYCARE - HORNELL, NY

Quality Measures

Complaint Deficiency

Staff Information

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