ST JOSEPH'S MANOR (DBA ENTITY OF HRHS) - MEADOWBROOK, PA

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Addresss:

1616 HUNTINGDON PIKE
MEADOWBROOK, PA, 19046

Phone (make sure to verify first before calling): (215) 938-4000

Number of Certified Beds: 296
Total Number of Residents: 286
Percent of Occupied Beds: 97%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
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: 4 Stars
RN Only Star Rating: 4 Stars

Other nearby hospitals and nursing homes

ALLEGHENY UNIVERSITY HOSP - ELKINS PRK (ELKINS PARK, 1.31 miles)
DAVITA - HUNTINGDON VALLEY DIALYSIS (HUNTINGDON VALLEY, 0.15 miles)
ELKINS CREST HEALTH AND REHAB (ELKINS PARK, 1.23 miles)
JEANES HOSPITAL (PHILADELPHIA, 1.49 miles)
JEANES HOSPITAL TRANSITIONAL CARE UNIT (PHILADELPHIA, 1.49 miles)
OMNI HOME CARE (ELKINS PARK, 1.15 miles)
VITAL SUPPORT HOME HEALTH CARE AGENCY, INC (ELKINS PARK, 1.25 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14

Certified Nurse Aides - Full Time: 102.17

Certified Nurse Aides - Part Time: 9.71

Food Service Personnel - Full Time: 56.00

Food Service Personnel - Part Time: 14.51

Housekeeping Personnel - Full Time: 26.29

Licensed Practical/ Vocational Nurses - Full Time: 23.20

Licensed Practical/ Vocational Nurses - Part Time: 2.86

Mental Health Services Personnel - Under Contract: 0.14

Nurses With Administrative Duties - Full Time: 10.29

Persons Not Included In Any Other Categories - Full Time: 27.43

Registered Nurses - Full Time: 14.97

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 3.43

Activities Professionals - Full Time: 2.29

Dentists - Under Contract: 0.14

Medical Directors - Part Time: 0.23

Nurses With Administrative Duties - Part Time: 0.91

Occupational Therapists - Part Time: 0.57

Pharmacists - Under Contract: 0.23

Podiatrists - Under Contract: 0.29

Nurse Aides In Training - Full Time: 4.46

Registered Nurses - Under Contract: 4.06

Dietitians - Full Time: 4.57

Sppech Pathologists - Full Time: 0.57

Persons Not Included In Any Other Categories - Part Time: 1.71

Registered Nurses - Part Time: 8.09

Housekeeping Personnel - Part Time: 4.00

Occupational Therapists - Full Time: 1.14

Physical Therapists - Full Time: 1.14

Physical Therapy Aide - Full Time: 2.29

Licensed Practical/ Vocational Nurses - Under Contract: 8.80

Nurse Aides In Training - Part Time: 1.14

Certified Nurse Aides - Under Contract: 2.74

Number Of Beds

Total: 296

Total Certified: 296

For Residents With Alzeheimers: 31

Provided Services

Activities Services Are Provided Onsite 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

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Offsite 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 Onsite To Residents

Pharmacy Services Are Provided Onsite To 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 Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Quality Measures

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

This Nursing Home:	13.5%
Pennsylvania:	15.9%

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

Here:	13.5%
State:	10.2%

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

This Nursing Home:	2.1%
Pennsylvania:	5.9%

Percent of long-stay residents who lose too much weight

Here:	7.9%
Pennsylvania:	7.4%

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

This Nursing Home:	73.7%
Pennsylvania:	56.0%

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

This Nursing Home:	1.9%
Pennsylvania:	3.9%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	0.4%
State:	5.3%

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

Here:	6.2%
Pennsylvania:	3.0%

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

Here:	100.0%
Pennsylvania:	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:	33.3%
State:	21.2%

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

This Nursing Home:	1.3%
Pennsylvania:	1.6%

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

This Nursing Home:	98.8%
State:	85.6%

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

This Nursing Home:	97.2%
Pennsylvania:	84.4%

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

Here:	1.3%
Pennsylvania:	2.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	23.8%
State:	22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.000
State:	0.760

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

This Nursing Home:	0.600
State:	0.830

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.600
State:	1.587

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.080
Pennsylvania:	0.089

Number Therapy Hours Per Resident Per Day

Here:	0.080
Pennsylvania:	0.090

Complaint Deficiency

Keep each resident free from physical restraints, unless needed for medical treatment
- 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 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
Have a program that investigates, controls and keeps infection from spreading
- 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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper stairway enclosures and vertical shafts
- 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: Few
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- 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: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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 working alarms on sprinkler valves
- 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
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- 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: 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
Exit stairways and towers that are smoke proof
- 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
Portable fire extinguishers
- 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
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few

ST JOSEPH'S MANOR (DBA ENTITY OF HRHS) - MEADOWBROOK, PA

Quality Measures

Staff Information

Complaint Deficiency

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