ST ANNS NURSING HOME CO INC (THE HERITAGE) (WEBSTER, NY) Detailed Nursing Home Profile

Quality Measures

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

Here:	18.7%
New York:	15.6%

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

Here:	19.5%
New York:	7.6%

Percent of long-stay residents who lose too much weight

Here:	1.1%
State:	6.4%

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

This Nursing Home:	61.3%
New York:	41.1%

Percent of long-stay residents with a urinary tract infection

Here:	2.1%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	3.2%
State:	12.6%

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

Here:	6.3%
State:	2.9%

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

Here:	100.0%
New York:	96.7%

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

This Nursing Home:	100.0%
State:	97.3%

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

Here:	20.6%
State:	16.9%

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

This Nursing Home:	5.8%
State:	1.8%

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

Here:	97.3%
State:	86.9%

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

This Nursing Home:	88.4%
New York:	85.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	3.2%
New York:	20.8%

Complaint Deficiency

Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- 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
Proper stairway enclosures and vertical shafts
- 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
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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: Many
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: Potential for minimal harm
- Scope: Many
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: Potential for minimal harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Some
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- 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
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- 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
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure services provided by the nursing facility meet professional standards of quality
- 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
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Some
Provide food in a way that meets a resident's needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- 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: Many
Properly protected cooking facilities
- 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: Potential for minimal harm
- Scope: Many
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few

ST ANNS NURSING HOME CO INC (THE HERITAGE) - WEBSTER, NY

Quality Measures

Complaint Deficiency

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