WAYNE COUNTY NURSING HOME - LYONS, NY

Submitted by:

Margaret Haroff, Administrator

Wayne County Nursing Home and Rehab Center
1529 Nye Road
Lyons New York 14489

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Addresss:

1529 NYE ROAD
LYONS, NY, 14489

Phone (make sure to verify first before calling): (315) 946-5673

Number of Certified Beds: 192
Total Number of Residents: 176
Percent of Occupied Beds: 92%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 2 Stars

Other nearby hospitals and nursing homes

BLOSSOM VIEW NURSING HOME (SODUS, 12.89 miles)
CLIFTON SPRINGS HOSPITAL AND CLINIC (CLIFTON SPRINGS, 9.15 miles)
FINGER LAKES HEALTH (GENEVA, 13.35 miles)
GENEVA NURSING HOME CLOSED (GENEVA, 13.03 miles)
NEWARK MANOR NURSING HOME (NEWARK, 3.69 miles)
NEWARK-WAYNE COMMUNITY HOSPITAL (NEWARK, 3.70 miles)
WAYNE HEALTH CARE (NEWARK, 4.09 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 22.56

Administrative Staff - Part Time: 0.61

Certified Nurse Aides - Full Time: 106.91

Certified Nurse Aides - Part Time: 20.44

Dietitians - Under Contract: 1.14

Food Service Personnel - Full Time: 10.26

Food Service Personnel - Part Time: 5.73

Housekeeping Personnel - Full Time: 2.11

Licensed Practical/ Vocational Nurses - Full Time: 32.49

Licensed Practical/ Vocational Nurses - Part Time: 0.64

Medical Directors - Under Contract: 0.17

Nurses With Administrative Duties - Full Time: 8.26

Occupational Therapy Aides - Full Time: 0.43

Persons Not Included In Any Other Categories - Full Time: 3.41

Physical Therapists - Under Contract: 2.29

Registered Nurses - Full Time: 7.66

Rn Director Of Nursing - Full Time: 0.94

Social Workers - Full Time: 2.81

Activities Professionals - Full Time: 1.01

Dentists - Under Contract: 0.06

Occupational Therapists - Under Contract: 1.84

Administrative Staff - Under Contract: 1.19

Food Service Personnel - Under Contract: 2.63

Speech Pathologists - Under Contract: 1.14

Other Physicians - Under Contract: 2.86

Registered Nurses - Under Contract: 2.33

Registered Nurses - Part Time: 1.97

Occupational Therapy Assistants - Under Contract: 1.06

Physical Therapy Aide - Full Time: 0.53

Licensed Practical/ Vocational Nurses - Under Contract: 2.54

Number Of Beds

Total: 192

Total Certified: 192

Provided Services

Activities Services Are Provided Offsite To Residents

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

Dental Services Are Provided Onsite 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 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 Non Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Offsite 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

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:	17.0%
State:	7.6%

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

Here:	4.2%
New York:	8.4%

Percent of long-stay residents who lose too much weight

Here:	5.0%
State:	6.4%

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

This Nursing Home:	47.6%
State:	41.1%

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

This Nursing Home:	5.0%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	6.3%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	5.9%
New York:	12.6%

Percent of long-stay residents who were physically restrained

Here:	2.4%
State:	2.3%

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

Here:	3.7%
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

Here:	98.8%
New York:	97.3%

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

Here:	26.1%
State:	16.9%

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

Here:	2.8%
State:	1.8%

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

This Nursing Home:	96.8%
New York:	86.9%

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

Here:	90.4%
State:	85.0%

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

Here:	2.1%
New York:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	19.6%
State:	20.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.500
State:	0.637

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

Here:	0.970
State:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.470
State:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.130
State:	0.080

Number Therapy Hours Per Resident Per Day

Here:	0.130
State:	0.081

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- 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
Properly installed electrical wiring and equipment
- 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
Properly installed electrical wiring and equipment
- 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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- 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
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- 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: 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: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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
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 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 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
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
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
Properly installed electrical wiring and equipment
- 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: Potential for minimal 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

WAYNE COUNTY NURSING HOME - LYONS, NY

Quality Measures

Staff Information

Complaint Deficiency

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