ST MARY HOME - WEST HARTFORD, CT

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Addresss:

2021 ALBANY AVE
WEST HARTFORD, CT, 06117

Phone (make sure to verify first before calling): (860) 570-8200

Number of Certified Beds: 256
Total Number of Residents: 248
Percent of Occupied Beds: 97%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Limited liability company
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 5 Stars

Other nearby hospitals and nursing homes

HEBREW HOME AND HOSPITAL INC (1.14 miles)
HUGHES HEALTH AND REHABILITATI (1.52 miles)
MASONICARE PARTNERS HOME HEALTH AND HOSPICE, INC (HARTFORD, 1.53 miles)
MERCY COMMUNITY HOME CARE SERV (0.17 miles)
ST FRANCIS HOSPITAL AND MEDICAL CENTER (HARTFORD, 1.50 miles)
URBAN NURSING AND COMMUNITY CARE, LLC (HARTFORD, 1.45 miles)
VNA HEALTH CARE, INC (HARTFORD, 1.52 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.26

Certified Nurse Aides - Full Time: 67.43

Certified Nurse Aides - Part Time: 48.29

Food Service Personnel - Full Time: 17.60

Food Service Personnel - Part Time: 9.60

Housekeeping Personnel - Full Time: 29.71

Licensed Practical/ Vocational Nurses - Part Time: 13.54

Medical Directors - Under Contract: 0.46

Mental Health Services Personnel - Under Contract: 0.46

Nurses With Administrative Duties - Full Time: 3.43

Persons Not Included In Any Other Categories - Full Time: 11.14

Physical Therapists - Under Contract: 2.76

Registered Nurses - Full Time: 12.57

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 3.29

Activities Professionals - Full Time: 2.39

Dentists - Under Contract: 0.11

Dietitians - Part Time: 1.37

Occupational Therapists - Under Contract: 1.26

Pharmacists - Under Contract: 0.23

Podiatrists - Under Contract: 0.23

Speech Pathologists - Under Contract: 0.67

Other Physicians - Under Contract: 0.06

Physician Extenders - Under Contract: 0.91

Registered Nurses - Under Contract: 0.11

Registered Nurses - Part Time: 12.91

Occupational Therapy Assistants - Under Contract: 3.31

Housekeeping Personnel - Part Time: 3.66

Licensed Practical/ Vocational Nurses - Under Contract: 3.66

Physical Therapy Aide - Under Contract: 2.09

Number Of Beds

Total: 256

Total Certified: 256

For Residents With Alzeheimers: 30

For Residents With Specialized Rehab Needs: 40

Provided Services

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Onsite To Residents

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 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

Pharmacy 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 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

Vocational Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.860
Connecticut:	0.770

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

Here:	0.610
Connecticut:	0.777

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.470
Connecticut:	1.538

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.030
State:	0.108

Number Therapy Hours Per Resident Per Day

Here:	0.030
Connecticut:	0.108

Complaint Deficiency

Properly installed electrical wiring and equipment
- 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
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
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- 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
Provide doctors orders for the resident's immediate care, at the time the resident was admitted
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Fire-resistant interior walls
- 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: Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
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: Some
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- 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
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Potential for minimal harm
- Scope: Some
Operate and provide services according to Federal, State, and local laws and professional standards
- Harm: Potential for minimal harm
- Scope: Many
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual 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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed
- 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
Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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 that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Quality Measures

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

Here:	20.3%
State:	17.6%

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

This Nursing Home:	2.6%
Connecticut:	7.9%

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

This Nursing Home:	3.3%
Connecticut:	5.1%

Percent of long-stay residents who lose too much weight

Here:	8.3%
State:	6.5%

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

Here:	37.8%
State:	42.0%

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

Here:	0.9%
State:	2.9%

Percent of long-stay residents with a urinary tract infection

Here:	3.3%
Connecticut:	5.4%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	0.5%
State:	4.9%

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

This Nursing Home:	0.9%
State:	3.0%

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

Here:	96.8%
Connecticut:	95.2%

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

This Nursing Home:	95.4%
Connecticut:	95.0%

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

Here:	5.6%
State:	21.5%

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

This Nursing Home:	98.2%
State:	85.5%

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

This Nursing Home:	98.8%
Connecticut:	82.1%

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

This Nursing Home:	2.8%
Connecticut:	2.6%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	23.6%
State:	25.2%

ST MARY HOME - WEST HARTFORD, CT

Staff Information

Complaint Deficiency

Quality Measures

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