Elderwood Health Care At Tioga

Current State: None change

General
Medicaid Data
Medicare Cost Report
Staff
Quality Measures
Health Survey
Fire Safety Survey
Definitions

Overall Facility Star Rating:
Address:: 37 North Chemung Street
Waverly, NY 14892, Tioga County
Phone:: (607)565-2861
Medicare Cost Reports Available from:: 1996-01-01 To 2010-12-31
Health Survey Star Rating:
Health Survey:: 17 Deficiencies Listed | 2010-07-22
Fire Survey:: 3 Deficiencies Listed | 2010-07-22 | Sprinkler Status: partially sprinklered

Item Name:	Item Value:
Administrator	Maria Landy
Type	0
Operating Cert #	5320301N
Prov #	335346.0
Controller or CFO	Richard F. Courtney
End Date	12/31/10

Item Name:	Item Value:
Name	Robert M. Chur
Title	Owner

Item Name:	Item Value:
Contact	Joe Volpe
Title	Director of Accounting
Phone	716-633-3900 ext. 240

Item Name:	Item Value:
Firm	Freed Maxick & Battaglia, Cp As, Pc
Name	Stephen D. Holt
License #	058317
Address	420 Main Street, Suite 800
City	Buffalo
State	Ny
Zip	14202

Item Name:	Item Value:
Prev. Census Beds	185
Census Beds	197
Admissions	417
Patients Cared For	602
Discharges	405

Item Name:	Item Value:
Private Patients	35
Private Min Rate	295
Private Max Rate	312
Private Revenue	1,755,830
Medicare Patients	57
Medicare Min Rate	158.6
Medicare Max Rate	158.6
Medicare Revenue	4,097,470
Medicaid Patients	92
Medicaid Min Rate	165.3
Medicaid Max Rate	716.8
Medicaid Revenue	10,205,263
Other Patients	13
Other Min Rate	151.9
Other Max Rate	564.5
Other Revenue	155,040
Blue Cross Patients	0
Blue Cross Min Rate	235
Blue Cross Max Rate	350
Veterans Patients	0
Veterans Min Rate	0
Veterans Max Rate	0

Item Name:	Item Value:
Health Days	55,520
Managed Care Days	0
Medicare Eligible Days	0
Medicare Ineligible Days	0
Medicare Days	7,544
Medicare Managed Care Days	1,944
Blue Cross Days	0
Other Private Insurance	0
Private Pay Patients	5,463
Veterans Admin.	0
Other	0
Total	70,471

Item Name:	Item Value:
Manage. & Supervision	1,000,527
Specialist	1,304,591
Reg. Nurses	603,383
Lic. Practical Nurses	1,492,562
Aides & Assist.	2,072,979
Admin Employees	341,234
Env. Hotel. & Food Empl.	801,185
Interns & Fellows	0
Total	7,616,461

Item Name:	Item Value:
Uniforms	9,109
FICA	543,507
Unemp. Insurance	106,361
Grp Health Insur.	1,313,804
Union Pens. & Retire	0
Workmans Comp	205,686
NonUnion Pens. & Retire	0
Disability	36,083
Other	114,934
Union Health & Welfare	0
Emp. Meals Allowance	112,138
Total	2,441,622

Item Name:	Item Value:
Full-Time Emp.	200
Part-Time Emp.	87
Casual Emp.	0
Total Emp.	287

Name	Percent	State
Elder Wood Affiliates Inc Management	100	Ny
Elderwood Associates Lp	100	Ny
Woodmark Pharmacy Inc	100	Ny
Tioga Property North Llc	100	Ny

Name	Percent
Elder Wood Health Care At Tioga Llc	100

Name	Percent	Term	expires
Robert M Chur	100

Name	Year Acquired	Historical Cost	Cost to Deprec.	Deprec. Rate	Current Year Deprec.
2008 Chevy Hhr	2008.0	17,507	17,507	25	4,377

Item Name:	Item Value:
Deprec. Owned Assets	22,236
Deprec. Cap. Assets	0
Mortgage Interest	0
Cap. Lease Interest	0
Rent	540,000
Property Insurance	4,462
Boiler Insurance	0
Total	566,698

Item Name:	Item Value:
Deprec. Owned Assets	0
Deprec. Cap. Assets	0
Amortization	30,572
Owned Asset Interest	0
Cap. Lease Interest	0
Rent	0
Total	30,572

Item Name:	Item Value:
Deprec. Owned Assets	160,343
Deprec. Cap. Assets	0
Mortgage Interest	0
Cap. Lease Interest	0
Other Interest	0
Total Rental	113,099
Auto Insurance	5,745
Rent All Cap. Leases	0
Total	279,187

Item Name:	Item Value:
Sales Tax	81,196
Real Estate Tax	216,992
Payments in Lieu of Taxes	0
Occupancy Tax	0
Mortgage Ins. Prem.	0
Fees & Charges	0
Assessor Fees	0
Amort. Mortgage	0
Amort. Organization	0
Amort. Legal	0
Nurse Aide Training	0
Nurse Aide Testing	5,572
NYS Revenue Assessment	650,919
Bad Debts	0
Phone Equip. Deprec.	0
Phone Equip. Interest	0
Phone Equip. Rental	0
Total	954,679

Name	Land % Ownership	Bldg % Ownership	Moveable Equpi. % Ownership
Elder Wood Health Care At Tioga Llc	100	100
Tioga Property Co North Llc			100

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	73,524
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	73,524

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	41,282
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	41,282

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	28,037
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	28,037

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	39,253
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	39,253

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	600
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	600

Item Name:	Item Value:
Salaries & Wages	433,282
Physicians Remuneration	0
Benefits	81,377
Fees	0
Supplies	2,513
Contract Svcs	3,465
Deprec. Lease & Rentals	17,977
Other Direct Exp.	353
Total	538,967

Item Name:	Item Value:
Salaries & Wages	244,182
Physicians Remuneration	0
Benefits	39,024
Fees	0
Supplies	4,935
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	478
Total	288,619

Item Name:	Item Value:
Salaries & Wages	56,258
Physicians Remuneration	0
Benefits	16,479
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	790
Total	73,527

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	24,122
Supplies	378,262
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	402,384

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	15,400
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	15,400

Item Name:	Item Value:
Salaries & Wages	91,232
Physicians Remuneration	0
Benefits	78,915
Fees	65,100
Supplies	2,283
Contract Svcs	9,863
Deprec. Lease & Rentals	0
Other Direct Exp.	1,849
Total	249,242

Item Name:	Item Value:
Salaries & Wages	402,197
Physicians Remuneration	0
Benefits	77,509
Fees	703,784
Supplies	17,850
Contract Svcs	30,108
Deprec. Lease & Rentals	16,967
Other Direct Exp.	1,027,091
Total	2,275,506

Item Name:	Item Value:
Salaries & Wages	208,773
Physicians Remuneration	0
Benefits	63,896
Fees	0
Supplies	71,628
Contract Svcs	125,135
Deprec. Lease & Rentals	427
Other Direct Exp.	482,231
Total	952,090

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	1,176
Contract Svcs	28,111
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	29,287

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	794,405
Physicians Remuneration	0
Benefits	235,310
Fees	0
Supplies	3,038
Contract Svcs	10,413
Deprec. Lease & Rentals	0
Other Direct Exp.	39,523
Total	1,082,689

Item Name:	Item Value:
Salaries & Wages	171,143
Physicians Remuneration	0
Benefits	43,638
Fees	4,475
Supplies	15,164
Contract Svcs	2,973
Deprec. Lease & Rentals	0
Other Direct Exp.	1,189
Total	238,582

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	120,000
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	120,000

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	31,444
Physicians Remuneration	0
Benefits	13,502
Fees	0
Supplies	673
Contract Svcs	6,858
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	52,477

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	239,393
Physicians Remuneration	0
Benefits	67,777
Fees	2,800
Supplies	4,922
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	4,481
Total	319,373

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Other Cost Report Years:

Fiscal Year Begin: 2010-01-01 | Fiscal Year End: 2010-12-31

Worksheet	Description
Worksheet S, Part 1 & 2	Certification and Settlement Summary
Worksheet S-2	Complex Identification Data
Worksheet S-3	Statistical Data
Worksheet S-3, Part 2 & 3	SNF Wage Index Information
Worksheet S-7, Part 4	Prospective Payment for SNF Statistical Data (RUGs)
Worksheet A	Reclassification and Adjustment of Trial Balance of Expenses
Worksheet A-7	Analysis of Changes During Cost Reporting Period in Capital Asset Balances
Worksheet A-8	Adjustments to Expenses
Worksheet A-8-1	Statement of Costs of Services from Related Organizations
Worksheet A-8-2	Provider-Based Physicians Adjustments
Worksheet B, Part 1	Cost Allocation - General Service Costs
Worksheet B, Part 2	Allocation of Capital - Related Costs
Worksheet B-1, Part 1	Cost Allocation - General Service Costs
Worksheet C	Ratio of Cost to Charges for Ancillary and Outpatient Cost Centers
Worksheet D, Part 1 (Title XVIII) SNF Facility Type	Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Costs
Worksheet D, Part 2 & 3 (Title XVIII) SNF Facility Type	Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Costs for Title XVIII (SNF)
Worksheet D-1, Part 1 & 2 (Title XVIII) SNF Facility Type	Computation of Inpatient Routine Costs
Worksheet E, Part 3 (Title XVIII) SNF Facility Type	Calculation of Reimbursement Settlement (SNF, Title XVIII)
Worksheet E-1 (Title XVIII) SNF Facility Type	Analysis of Payments to Providers for Services Rendered (SNF, Title XVIII)
Worksheet G	Balance Sheet
Worksheet G-2, Part 1 & 2	Statement of Patient Revenues and Operating Expenses
Worksheet G-3	Statement of Revenues and Expenses

	National Average	New York Average	Elderwood Health Care At Tioga
Nurse Staffing Star Rating
Total Number of Residents	88.90	172.81	185.0
Total Number of Licensed Nurse Staff Hours per Resident per Day	1 hour and 34 minutes	1 hour and 28 minutes	1 hour and 40 minutes
RN Hours per Resident per Day	44 minutes	39 minutes	31 minutes
RN Staff Only Star Rating
LPN/LVN Hours per Resident per Day	50 minutes	48 minutes	1 hour and 9 minutes
CNA Hours per Resident per Day	2 hours and 28 minutes	2 hours and 20 minutes	2 hours and 22 minutes

Quality Measures	National Average	New York Average	Elderwood Health Care At Tioga
Quality Measures Star Rating
Long-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of long-stay residents given influenza vaccination during the flu season	86.96%	86.96%	93%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	85.82%	85.82%	98%
NOTE: for the following measures, lower percentages are better.
Percent of long-stay residents whose need for help with daily activities has increased	13.41%	13.41%	20%
Percent of long-stay residents who have moderate to severe pain	3.08%	3.08%	3%
Percent of high-risk long-stay residents who have pressure sores	9.79%	9.79%	13%
Percent of low-risk long-stay residents who have pressure sores	1.52%	1.52%	1%
Percent of long-stay residents who were physically restrained	2.62%	2.62%	2%
Percent of long-stay residents who are more depressed or anxious	13.72%	13.72%	19%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	47.77%	47.77%	47%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	4.79%	4.79%	7%
Percent of long-stay residents who spend most of their time in bed or in a chair	3.84%	3.84%	8%
Percent of long-stay residents whose ability to move about in and around their room got worse	10.29%	10.29%	16%
Percent of long-stay residents who had a urinary tract infection	8.48%	8.48%	8%
Percent of long-stay residents who lose too much weight	7.25%	7.25%	8%
Short-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of short-stay residents given influenza vaccination during the flu season	78.26%	78.26%	90%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	77.32%	77.32%	97%
NOTE: For the following Measures, Lower Percentages are better.
Percent of short-stay residents who have delirium	1.31%	1.31%	5%
Percent of short-stay residents who had moderate to severe pain	17.26%	17.26%	31%
Percent of short-stay residents who have pressure sores	10.85%	10.85%	18%

Quality Care Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Isolated
2. Make sure that each resident's nutritional needs were met.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Isolated
3. Give or get dental care for each resident.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Isolated
4. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Isolated
5. Give each resident care and services to get or keep the highest quality of life possible.	2008-12-12	2008-12-09	Immediate jeopardy to resident health or safety	Pattern
6. Develop/implement required procedures for the administration of immunizations.	2008-07-31	2008-08-14	Potential for minimal harm	Pattern

Environmental Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Have a program to keep infection from spreading.	2010-07-22	2010-09-20	Minimal harm or potential for actual harm	Pattern
2. Keep temperature levels comfortable and safe.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Isolated
3. Make sure that the nursing home area is free of dangers that cause accidents.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Pattern
4. Have a program to keep infection from spreading.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Pattern
5. Make sure that the nursing home area is free of dangers that cause accidents.	2008-07-31	2008-08-20	Minimal harm or potential for actual harm	Pattern

Resident Rights Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Let residents talk to and get information from agencies acting on their behalf.	2009-09-25	2009-11-25	Potential for minimal harm	Widespread

Nutrition and Dietary Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Store, cook, and give out food in a safe and clean way.	2010-07-22	2010-09-20	Minimal harm or potential for actual harm	Pattern
2. Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	2010-07-22	2010-09-20	Minimal harm or potential for actual harm	Pattern
3. Store, cook, and give out food in a safe and clean way.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Pattern
4. Make sure that residents are well nourished.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Widespread

Mistreatment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. 1) hire only people who have 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.	2010-07-22	2010-09-20	Minimal harm or potential for actual harm	Pattern

Hazardous Area Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly installed hallway dispensers for alcohol-based hand rub.	2008-07-31	2008-08-14	Minimal harm or potential for actual harm	Pattern

Smoke Compartmentation and Control Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	2008-07-31	2008-08-14	Minimal harm or potential for actual harm	Pattern

Automatic Sprinkler Systems Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly working alarms on sprinkler valves.	2009-09-25	2009-11-25	Minimal harm or potential for actual harm	Pattern

Resident Councils

The law requires nursing homes to allow councils to be set up by residents and families. Resident and family councils can facilitate communications with staff. If a nursing home does not have a resident and family council, ask the administrator why. If there is a council, ask to talk with council presidents to get a sense of how the nursing home has acted on their concerns.

Ownership Type

Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations, or government entities. Quality of nursing homes can vary within each of these different types of ownership. Each nursing home needs to be judged on its own merits.

Multiple Nursing Home Ownership

Multi-nursing home chains have two or more homes under one ownership or operation.

Registered Nurse

Registered nurses (RNs) have between 2 and 6 years of education

Licensed Practical and Vocational Nurse

Licensed practical and vocational nurses (LPNs/LVNs) generally have 1 year of training. By law, RNs must assess residents' needs. RNs and LPNs/LVNs work together to plan care, implement care and treatment, and evaluate residents' outcomes. Nurses must be licensed in the state and are on site to provide care to residents twenty-four hours per day, seven days a week.

Certified Nursing Assistant

Certified nursing assistants (CNAs) provide care on a twenty-four hour basis. They work under the direction of a licensed nurse to assist residents with activities of daily living, i.e., eating, grooming, hygiene, dressing, transferring, and toileting. To become a full time certified nursing assistants (CNAs) one must have completed a competency evaluation program or nurse assistant training within 4 months of their permanent employment. They must also pursue continuing education each year.

On Site Services

On site services provide insight into the actual services that the Nursing Home offers. These services include dental service, dietary service, mental health service and others. This information will allow you to see if the Nursing Home provides these services or if they contract with an outside agency for these services.

Percentage of Residents Whose Ability to Move about in and around Their Room Got Worse

This measure indicates the percentage of residents whose ability to move about, either by walking or using a wheelchair, in their room and the hallway near their room, got worse since their last assessment. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, worsening illness, fear of injury, or depression. Residents who lose mobility may also lose the ability to perform other activities of daily living, like eating, dressing, or getting to the bathroom. In some cases, however, the decline measured may be temporary and due to a short-term illness the resident is experiencing at the time of the assessment.

A lack of movement affects the resident in many ways. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents move around more. For instance, they can encourage residents to take part in physical and social activities or take them for regular walks if they need help. Most residents value being able to move about on their own and take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will decline in their ability to move about, even though the nursing home staff makes a good effort to keep them more active

Percentage of High Risk Residents Who Have Pressure Sores

This measure indicates the percent of residents, among all residents at high risk for getting pressure sores, who get a pressure sore in the nursing home. (Lower percentages are better.) A resident is at high risk for getting pressure sores if he or she is in a coma, doesn't get the nutrients they need (like water, vitamins, and minerals), or can't move or change position on their own.

A pressure sore is a skin wound. Pressure sores are sometimes called bedsores. These sores can be caused by pressure on the skin from chairs, wheelchairs, or beds. Pressure sores usually develop on bony parts of the body such as the tailbone, hip, ankle, or heel. They are usually caused by constant pressure on one part of the skin.

Pressure sores may:

be painful
take a long time to heal
cause other complications such as skin and bone infections

Percentage of Residents Who Spend Most of Their Time in Bed or in a Chair

This measure indicates the percentage of residents who spent most of their time in bed or in a chair in their room during the 7-day assessment period. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, fear of injury, worsening illness, or depression. Residents who spend too much time in bed or a chair may lose the ability to perform activities of daily living, like eating, dressing, or getting to the bathroom.

Staying in a bed or chair affects the resident in many ways. Unused muscles get weaker. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position, and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents be more active. For instance, they can encourage residents to take part in physical activities or take them for regular walks if they need help. Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will choose to remain in bed or in a chair even though the nursing home staff makes a good effort to keep them more active. It is also important to note that some residents may be counted in this measure if their assessment period occurs when they are temporarily ill and are remaining in bed due to a short-term problem.

Percentage of Residents Who Were Physically Restrained

This measure indicates the percent of residents in the nursing home who were physically restrained daily during the 7-day assessment period. (Lower percentages are better.)

A physical restraint is any device, material, or equipment attached or adjacent to a resident's body, which the individual cannot remove easily, that keeps a resident from moving freely or prevents them normal access to their body. Examples of physical restraints include special types of vests, chairs with lap trays, lap belts, and enclosed walkers. Bed rails (side rails) are also considered restraints in certain situations, but they are not used in the calculation of this measure.

Restraints should only be used when they are necessary as part of the treatment of a resident's medical condition. Only a doctor can order a restraint. Restraints should never be used to punish a resident or to make things easier for the staff. Facilities are not allowed to use restraints based solely on a family's request, unless there is a documented medical need and a doctor's order. A resident who is restrained daily can become weak, lose the ability to go to the bathroom by themselves, and develop pressure sores or other medical complications.

Percentage of Residents Whose Need for Help with Daily Activities Has Increased

The daily activities that this measure counts include:

feeding oneself
moving from one chair to another
changing positions while in bed
going to the bathroom alone

Residents are checked routinely to see how they function doing these basic daily activities. Some loss of function may be expected in the elderly. If they are in poor health or if they are ill (for example, if they have pneumonia, an infection, a recent injury, or a chronic problem like asthma that has flared up), they may have a temporary loss of function. Sudden or rapid loss of one or more of these basic daily tasks could mean the resident needs medical attention.

Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves. In some cases, it may take more staff time to allow residents to do these tasks than to do the tasks for them. Residents who still do these basic daily activities with little help may feel better about themselves and stay more active. This can affect their health in a good way. When people stop taking care of themselves, it may mean that their health has gotten worse. The resident's ability to perform daily functions is important in maintaining their current health status and quality of life. Some residents will lose function in their basic daily activities even though the nursing home provides good care.

Percentage of Low Risk Residents Who Lose Control of Their Bowels and Bladder

This measure indicates the percent of residents who often lose control of their bowels or bladder. (Lower percentages are better.) This information is only based on residents who have a low risk for losing control of their bowel or bladder. Residents have a low risk for losing bowel and bladder control if they do not have either severe dementia (memory loss) or a very limited ability to move on their own.

Loss of bowel or bladder control is not a normal sign of aging and can often be successfully treated. Loss of bowel and bladder control can be caused by:

physical problems (like constipation, muscle weakness, or a bladder infection)
location problems (like the bathroom being too far away)
reaction to medication
limited ability to walk or move around
diet and fluid intake
toilet routine (timing trips to the bathroom)
whether someone can provide assistance when needed
certain medical conditions, such as diabetes, dementia, spinal cord injury, or neurological disease

Finding the cause and treating a problem with bowel or bladder control is important for many reasons. Physically, it can help prevent infections and pressure sores. Mentally, treatment can help the well being of the resident by restoring dignity and social interaction. Having fewer residents with bowel and bladder control problems can give the nursing home staff more time to provide other care.

Five Star Quality Rating

Much Above Avg. 5 out of 5 stars
Above Avg. 4 out of 5 stars
Average 3 out of 5 stars
Below Avg. 2 out of 5 stars
Much Below Avg. 1 out of 5 stars

Percentage of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

This measure indicates the percent of residents who had a catheter inserted and left in their bladder for a period of time during the 14-day assessment period. (Lower percentages are better.)

A catheter is a thin, soft tube that is inserted into the bladder and attached to a bag that collects the urine. It may be inserted into the bladder of a patient who has lost control of their bladder or cannot use a toilet (for instance, someone in a coma). Catheters may be used because there is a physical reason the urine cannot drain naturally, to keep a patient with pressure sores that are not healing clean and dry, or to measure the amount of urine being produced.

A catheter should only be used when it is medically necessary. Residents may need a lot of help to get to the toilet, or they may have to go frequently. A catheter should not be used for the convenience of the nursing home staff. Using a catheter may result in complications like urinary tract or blood infections, physical injury, skin problems, bladder stones, or blood in the urine. Some studies have shown that long-term use of indwelling catheters (over many years) may increase the rates of bladder cancer in patients with spinal cord injuries.

Percentage of Residents with a Urinary Tract Infection

This measure indicates the percentage of residents who had an infection in their urinary tract at any time during the 30 days before their most recent assessment. (Lower percentages are better.)

A urinary tract infection (UTI) is an infection in the urethra that, if left untreated, can spread to the bladder (bladder infection) and kidney (kidney infection).

If the area where waste (urine and bowel movements) leaves the body is not kept clean, bacteria from the colon may multiply and enter the urethra (the tube that passes urine from the bladder to outside the body), causing a UTI. A UTI may also be caused by bacteria on a catheter (a soft tube) being used to drain urine from the bladder.

Most urinary tract infections can be prevented by keeping the area clean, emptying the bladder regularly, and drinking enough fluid. Nursing home staff should make sure the resident has good hygiene. Finding the cause and getting early treatment of a UTI can prevent the infection from spreading and becoming more serious or causing complications like delirium. It is important to find out whether the UTI is caused by a physical problem, like an enlarged prostate, so proper medical treatment can be given.

Percentage of Residents Who Are More Depressed or Anxious

This measure indicates the percentage of residents who have become more depressed or anxious in the nursing home since the last time they were checked. (Lower percentages are better.)

Depression is a medical problem of the brain that can affect how a person thinks, feels, and behaves. Signs of depression may include fatigue, a loss of interest in normal activities, poor appetite, and problems with concentration and sleeping.

Anxiety is excessive worry. Signs of anxiety can include trembling, muscle aches, problems sleeping, stomach pain, dizziness, and irritability.

Feeling depressed or anxious can lessen one's quality of life and lead to other health problems. Nursing home residents are at a high risk for developing depression and anxiety for many reasons, such as loss of a spouse, family members, or friends; chronic pain and illness; difficulty adjusting to the nursing home; and frustration with memory loss. Identifying depression and anxiety can be difficult in elderly patients because the signs may be confused with the normal aging process, a side effect of a medication, or the result of a medical condition. Proper treatment may include medication, therapy, or an increase in social support.

Percentage of Residents Who Lose Too Much Weight

This measure indicates the percentage of residents who have lost too much weight. (Lower percentages are better.)

A loss of 5% or more of body weight in one month is usually considered unhealthy (for example, a 150 pound person should not lose more than 7.5 pounds in one month). Too much weight loss can make a person weak, change how medicine works in the body, or cause the skin to break down, which can lead to pressure sores. Too much weight loss may mean that the resident is ill, refuses to eat, is depressed, or has a medical problem that makes eating difficult (like weakness caused by a stroke). It could also mean that the resident is not being fed properly, their medical care is not being properly managed, or that the nursing home's nutrition program is poor. To help prevent unhealthy weight loss, it is important that the resident's diet is balanced and nutritious, and that staff spend enough time feeding people who can't feed themselves. Sometimes it may be necessary for a person to lose weight for medical reasons. In these cases, the medical staff may plan in advance for the resident to lose weight on a special weight loss program, but the person should not lose more than 5% of body weight in one month.

Percentage of Residents Who Have Moderate to Severe Pain

This indicates the percentage of residents who are reported to have moderate to severe pain during the 7-day assessment period. This measure is shown to encourage you to talk to the nursing home staff about how they check and manage pain, and to make you aware of how important it is. Pain can be caused by a variety of medical conditions. Checking for pain and pain management are very complex.

Comparing these percentages is different from the other measures because the percentages may mean different things. Generally, a lower percentage on this measure is better. However, this isn't always true. For example, two nursing homes could provide the same quality of care and have the same number of residents with pain. However, if one of the nursing homes does a better job checking the residents for pain, they could have a higher percentage on this measure. Or, if for personal or cultural reasons, more residents in one of the nursing homes refuse to take pain medication, that nursing home's percentage would be higher. In these examples, although the percentage for one nursing home is higher, it does not mean they are not providing good care.

Residents should always be checked regularly by nursing home staff to see if they are having pain. Residents (or someone on their behalf) should let staff know if they are in pain so efforts can be made to find the cause and make the resident more comfortable. If pain is not treated, a resident may not be able to perform daily routines, may become depressed, or may have an overall poor quality of life. This percentage may include some residents who are getting or have been prescribed treatment for their pain but who refuse pain medicines or choose to take less. Some residents may choose to accept a certain level of pain so they can stay more alert.

Percentage of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

A pneumococcal vaccination otherwise known as pneumococcal shot may help you prevent, or lower the risk of becoming seriously ill from pneumonia caused by bacteria. It may also help you prevent future infections.

Residents of nursing homes should be asked if they have been vaccinated for pneumonia, and if not, you should be given the pneumococcal shot unless there is a medical reason why you should not receive it.

Percentage of Long-Stay Residents Given Influenza Vaccination During the Flu Season

Influenza is also known as the "flu" and is a contagious form of a respiratory infection. The flu is easily transmitted from person to person. The most common form of spreading this condition is when a person coughs or sneezes.

Receiving an immunization (influenza vaccination or flu shot) can prevent you from getting the flu or at the least help to reduce your risk of becoming seriously ill from the flu. People 65 years of age and older tend to be at a higher risk of becoming seriously ill from the flu. These illnesses can develop into serious and sometime life threatening medical complications. It is recommended that if you are 65 or older you should get a flu shot once a year if no medical condition would preclude you from receiving one.

The flu season is between October and March of each year. Residents of nursing homes should have a flu shot once every year during the flu season. You doctor will explain to you if you have a medical condition or situation that would not allow you to receive a flu shot.

Overall Rating

The overall rating is a combination of the health inspection rating, the staffing rating, and the quality measures rating. Analysis was conducted on these three data sources and each of these ratings were combined into one overall rating.

When looking at the five-star ratings, more stars are better. Five (5) stars are the most a nursing home can get. One (1) star is the fewest.

Health Inspection Result Rating

Strengths:

Comprehensive: The nursing home health inspection process looks at all major aspects of care in a nursing home (about 180 different items).
Onsite Visits by Trained Inspectors: It is the only source of information that comes from a trained team of objective surveyors who visit each nursing home to check on the quality of care, inspect medical records, and talk with residents about their care.
Federal Quality Checks: Federal surveyors check on the state surveyors' work to make sure they are following the national process and that any differences between states stay within reasonable bounds.

Limits:

Variation between States: There are some differences in how different states carry out the inspection process, even though the standards are the same across the country.
Medicaid Program Differences: There are also differences in state licensing requirements that affect quality, and in state Medicaid programs that pay for much of the care in nursing homes

Staffing Rating

Strengths:

Overall Staffing: The quality ratings look at the overall number of staff compared to the number of residents and how many of the staff are trained nurses.
Adjusted for the Population: The ratings consider differences in how sick the nursing home residents are in each nursing home, since that will make a difference in how many staff are needed.

Limits:

Self-Reported: The staffing data are self-reported by the nursing home, rather than collected and reported by an independent agency.
Snap-Shot in Time: Staffing data are reported just once a year and reflect staffing over a 2 week period of time.

Quality Measures Rating

Strengths:

In-Depth Look: The quality measures provide an important in-depth look at how well each nursing home performs on ten important aspects of care. For example, these measures show how well the nursing home helps people keep their ability to dress and eat, or how well the nursing home prevents and treats skin ulcers.
National Measures: The ten quality measures we use in the Five-Star rating are used in all nursing homes.

Limits:

Self-Reported Data: The quality measures are self-reported by the nursing home, rather than collected and reported by an independent agency.
Just a Few Aspects of Care: The quality measures represent only a few of the many aspects of care that may be important to you.

Item Name:	Item Value:
Laboratory	0
Electrocardiology	0
Electroencephalogy	0
Radiology	-43,240
Inhalation Therapy	-1,192
Podiatry	0
Dental	0
Psychiatric	0
Physical Therapy	-7,226
Occupational Therapy	-26,593
Speech & Hearing Therapy	27,629
Pharmacy	70,906
Central Svc Supply	65
Medical Staff Svc	0

Item Name:	Item Value:
Patient Service Revenue	16,213,603
Other Operating Revenue	54,733
Operating Revenue	16,268,336
Non-Operating Revenue	2,405
Operating Expense	15,580,328
NonOperating Expense	0
Revenue Less Expenses	690,413

Item Name:	Item Value:
Res Health Care Fac	5,798,372
Adult Care	0
ICF Mental Retardation	0
Outpatient Clinics	0
Home Health Care	0
Homemaker Svcs	0
Meals on Wheels	0
Research	0
Office & Other Rent	0
Gift Shop	0
Public Restaurant	0
Fund Raising	0
Barber & Beauty	0
Sold Svcs	0
Indpendent Living	0
Other	0

Item Name:	Item Value:
Res Health Care Fac	16,038,214
Adult Care	0
ICF Mental Retardation	0
Outpatient Clinics	0
Home Health Care	0
Homemaker Svcs	0
Meals on Wheels	0
Research	0
Office & Other Rent	0
Gift Shop	0
Public Restaurant	0
Fund Raising	0
Barber & Beauty	0
Sold Svcs	0
Other	0
Indpendent Living	0

Item Name:	Item Value:
Deprec. Lease & Rentals	592,808
Deprec. Major Moveable Equip.	160,343
Cap. Debt Interest	0
Fiscal Svcs	249,242
Admin Svcs	2,275,506
Plant Oper. & Maint.	952,090
Grounds	29,287
Security	0
Nursing Admin	1,082,689
Activities Program	238,582
NonPhysician Edu.	0
Medical Edu.	0
Med Dir. Office	120,000
Housing	0
Medical Records	52,477
Utilization Review	0
Social Svcs	319,373
Transportation	0

Item Name:	Item Value:
Notes & Loans Payable	0
Acc. Payable	1,011,559
Accrued Compensation	0
Other Accrued Exp.	0
Long Term Debt Installment	0
Third Party Payor Advances	452,942
Payables to Private	0
Income Tax Payable	0
Deferred Rev. Patients Deposits	0
Other Deferred Revenue	0
Due to Parent/Affiliate	3,191,000
Due to Other Funds	0
Total	4,655,501

Item Name:	Item Value:
Deferred Income Tax	0
Deferred Third Party Rev.	0
Patient Trust Funds	63,598
Long Term Debt	0
Due to Other Funds	0
Total	63,598

Item Name:	Item Value:
Cash-on Hand & Banks	1,500
Time Deposits	0
Investments	0
Patient acc. & notes reciev.	1,780,561
Third Party Receiv.	0
Other Acc. Receiv.	0
Pledges Receiv.	0
Inventories	41,381
Due From Other Funds	0
Dues From Parent/Affiliate	117,384
Prepaid Expenses & Other	455,211
Other	0
Total	2,396,037

Item Name:	Item Value:
Cash	0
Time Deposits	0
Investments	0
Patient Trust Funds	63,598
Land	0
Land Improve.	0
Bldng & Fixed Equip.	257,554
Major Moveable Equip.	531,634
Leasehold Improvement	414,082
Minor Equip.	0
Cur. Construction	0
Non-Op Prop. Invest.	0
Due From Other Funds	0
Other Intangible	0
Total	2,509,959

Item Name:	Item Value:
Deprec. Funds	0
Oper. Escrow Funds	0
Mortg. Repay. Escrow Funds	0
Other	0

Item Name:	Item Value:
Capital	0
Preferred Stock	0
Common Stock	0
Add. Paid in Capital	0
Retained Earnings	186,897
Less- Treasury Stock	0
Contr. From Other Funds	0

Vendor/Service	Fee Amount	Contract Amount
Elder Wood Afiliates, Inc 3 Mgmt/Finance	680,004
Freed Maxick & Battaglia 0 Acctg/Auditing	43,200
Guthrie Clinic 0 Lab Fees		31,241
Guthrie Clinic 0 Nurse Practitioner	15,400
Consultant Pharmachist 0 Pharmacy Consultant	24,122
Sds Of Ny 0 Waste Removal		24,142
Otis Elevator Co 0 Elevator Maint Svc		21,322
Kimble Inc 0 Hvac Maint Svc		17,715
Elder Wood Affiliates Inc 3 Billing Svc	43,200
Bates Troy Healthcare 0 Laundry Svc		118,261
Robinson Contracting 0 Lawn Svc		10,100
Porters Concrete Service Inc 0 Snow Removal		13,191
Robert Packer Hospital 0 Lab		42,284
Robert Packer Hospital 0 X Ray Fees		31,933
All Mode Communication 0 Phone Service		6,165
K & A Services 0 X Ray Fees		9,349
Stericycle Inc 0 Waste Removal		3,088
Damon & Morey 0 Legal Fees	7,054

Item Name:	Item Value:
Admin-Long Term Debt	0
Therapist & Other	15,400
Consulting & Management	1,633,810
Legal	9,577
Auditing Services	21,900
Registered Nurses	0
Lic. Practical Nurses	0
Private Duty Nurses	0
Total	1,685,161

Item Name:	Item Value:
Electricity	0
Gas	99,550
Water & Sewer	24,136
Other Utilities	0
Insurance	194,692
Interest	397
Non-Income Taxes	960,993
Phone	31,589
Association Dues	17,261
Printing and Dup.	1,283
Travel	65,502
Books & Periodicals	0
Other	-120,671
Total	1,391,594

Item Name:	Item Value:
Grounds Sq Ft Serviced	89,645
Avg. Nursing Employees	176
Num. Activities Participants	96,172
Avg. Persons Housed	0
Utilization Cases Reviewed	0
Transportation Trips	0
Med. Edu. Students	0
NonPhysician Edu. Students	0
Plant Oper & Main. Sq. Ft. Net	89,645
Rel. Radiology Value Units	152

Item Name:	Item Value:
Inhalation Treatments	7,723
Podiatry Visits	475
Dental Visits	332
Psychiatric Visits	4
Phys. Therapy Treatments	23,876
Occu. Therapy Treatments	21,074
Speech & Hearing Therapy Treatments	1,536
Lab. Cap Units	519
Electrocardiology Cap Units	0
Electroencephalogy Cap Units	0

Item Name:	Item Value:
Salaries & Wages	3,995,728
Physicians Remuneration	0
Benefits	1,364,393
Fees	0
Supplies	357,851
Contract Svcs	2,128
Deprec. Lease & Rentals	77,729
Other Direct Exp.	543
Total	5,798,372

Facility Summary (View Report Statewide)

Certifier Information (View Report Statewide)

Report Contact (View Report Statewide)

Accountant Information (View Report Statewide)

Occupancy (View Report Statewide)

Rate Data (View Report Statewide)

Patient Days by Payor (View Report Statewide)

Salaries and Wages (View Report Statewide)

Employee Benefits (View Report Statewide)

Employee Types (View Report Statewide)

Related Companies (View Report Statewide)

Owners (View Report Statewide)

Corporate Stockholder/Board Member (View Report Statewide)

Corporate Stockholders (View Report Statewide)

Administrator/Officer Salary (View Report Statewide)

Vehicles (View Report Statewide)

Capitalized Leased Equipment (View Report Statewide)

Building Fixed Equipment (View Report Statewide)

Land/Leasehold Improvement (View Report Statewide)

Moveable Equipment (View Report Statewide)

Other Property Expense (View Report Statewide)

Tangible Property Ownership (View Report Statewide)

Laboratory (View Report Statewide)

Electrocardiology (View Report Statewide)

Electroencephalogy (View Report Statewide)

Radiology (View Report Statewide)

Inhalation Therapy (View Report Statewide)

Podiatry (View Report Statewide)

Dental (View Report Statewide)

Psychicatric (View Report Statewide)

Physical Therapy (View Report Statewide)

Occupational Therapy (View Report Statewide)

Speech and Hearing Therapy (View Report Statewide)

Pharmacy (View Report Statewide)

Central Service Supply (View Report Statewide)

Medical Staff Services (View Report Statewide)

Fiscal (View Report Statewide)

Administrative (View Report Statewide)

Plant Operation and Maintenance (View Report Statewide)

Grounds (View Report Statewide)

Security (View Report Statewide)

Nursing Administration (View Report Statewide)

Activities Program (View Report Statewide)

NonPhysician Education (View Report Statewide)

Medical Education (View Report Statewide)

Medical Directors Office (View Report Statewide)

Housing (View Report Statewide)

Medical Records (View Report Statewide)

Utilization Review (View Report Statewide)

Social Service (View Report Statewide)

Transportation (View Report Statewide)

Ancillary Revenue (View Report Statewide)

General Revenue & Expense (View Report Statewide)

Program Services Expense (View Report Statewide)

Program Services Revenue (View Report Statewide)

Ancillary Expense (View Report Statewide)

General Services Expense (View Report Statewide)

Current Liabilities (View Report Statewide)

Non-Current Liabilities (View Report Statewide)

Bad Debts (View Report Statewide)

Working Capital Interest (View Report Statewide)

Annual Capital Listing (View Report Statewide)

Current Assets (View Report Statewide)

Non-Current Assets (View Report Statewide)

Fund Balance (View Report Statewide)

Equity (View Report Statewide)

Net Assets (View Report Statewide)

Contract and Fee Services (View Report Statewide)

Fees (View Report Statewide)

Other Direct Expenses (View Report Statewide)

Standardized Unit Metrics 1 (View Report Statewide)

Standardized Unit Metrics 2 (View Report Statewide)

Other Program Services (View Report Statewide)

Barber and Beauty Shop (View Report Statewide)

Gift Shop (View Report Statewide)

Adult Care Facility (View Report Statewide)

Sold Services (View Report Statewide)

ICF Mental Retardation (View Report Statewide)

Outpatient Clinics (View Report Statewide)

Public Restaurant (View Report Statewide)