Crandall Medical Center

Current State: None change

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

Overall Facility Star Rating:
Address:: 800 S 15 Th St
Sebring, OH 44672, Mahoning County
Phone:: (330)938-6126
Medicare Cost Reports Available from:: 1996-01-01 To 2010-12-31
Health Survey Star Rating:
Health Survey:: 19 Deficiencies Listed | 2011-04-21
Fire Survey:: 9 Deficiencies Listed | 2011-04-22 | Sprinkler Status: fully sprinklered

Item Name:	Item Value:
Routine Service: Room & Board	14,439,400
Deductions from Revenue	-2,157,820
Therapy Svcs	2,110,330
Medical Supplies	19,877
Medical Minor Equip.	0
Enteral Nutritional Therapy	0
Other Ancillary Svcs	31,678

Item Name:	Item Value:
Dry Cleaning Service	0
Communications	0
Meals	0
Barber & Beauty	55,817
Personal Purchases: Residents	0
Radiology	80,114
Laboratory	52,768
Oxygen	47,518
Legend Drugs	302,171
Other	0
Total	538,388

Item Name:	Item Value:
Management Svcs	0
Cash Discounts	0
Rebates & Refunds	0
Gift Shop	0
Vending Machine	0
Vending Machine Commissions	0
Rental Space	0
Rental Equipment	0
Rental: Other	0
Interest: Working Capital	1,567
Interest: Restricted Funds	0
Interest: Funded Depreciation	0
Interest: Related Party Revenue	0
Interest: Contributions	0
Endowments	0
Gain/Loss on Disposal of Assets	0
Gain/Loss on Sale of Investments	0
Nurse Aide Training Program Revenue	0
Contributions	264,000
Total	265,567

Item Name:	Item Value:
Administrator - Wages	351,295
Administrator - Hours	18,927
Other Admin Personnel - Wages	0
Other Admin Personnel - Hours	0
Security Svcs - Wages	16,525
Security Svcs - Hours	787
Resident Transportation - Wages	459,632
Resident Transportation - Hours	42,027
Accounting - Wages	0
Accounting - Hours	0
Data Svcs - Wages	0
Data Svcs - Hours	0
Other Ancillary and Support - Wages	1,122,940
Other Ancillary and Support - Hours	74,967
Home Office Ancillary Care - Wages	15,834
Home Office Ancillary Care - Hours	528
Total - Wages	227,676
Total - Hours	14,028

Item Name:	Item Value:
Plant Operation/Maintenance Supervisor - Wages	243,510
Plant Operation/Maintenance Supervisor - Hours	14,556
Plant Operations/Maintenance - Wages	0
Plant Operations/Maintenance - Hours	0
Total - Wages	0
Total - Hours	0

Item Name:	Item Value:
Medical Habilitation Records - Wages	0
Medical Habilitation Records - Hours	0
Pharmaceutical Consultant - Wages	93,862
Pharmaceutical Consultant - Hours	6,646
Total - Wages	42,819
Total - Hours	2,080

Item Name:	Item Value:
Activity Director - Wages	92,750
Activity Director - Hours	8,556
Activity Staff - Wages	0
Activity Staff - Hours	0
Recreational Therapist - Wages	0
Recreational Therapist - Hours	0
Psychologist - Wages	0
Psychologist - Hours	0
Psychology Assistant - Wages	47,537
Psychology Assistant - Hours	2,365
Social Work Counselling - Wages	121,369
Social Work Counselling - Hours	6,860
Social Work Pastoral Care - Wages	0
Social Work Pastoral Care - Hours	0
Habilitation Supervisor - Wages	0
Habilitation Supervisor - Hours	0
Program Director - Wages	0
Program Director - Hours	0
Qualified Mental Retardation Pro. - Wages	304,475
Qualified Mental Retardation Pro. - Hours	19,861
Total - Wages	0
Total - Hours	0

Item Name:	Item Value:
Med Director - Wages	0
Med Director - Hours	0
DoN - Wages	89,279
DoN - Hours	2,141
RN Charge Nurse - Wages	0
RN Charge Nurse - Hours	0
LPN Charge Nurse - Wages	0
LPN Charge Nurse - Hours	0
Reg. Nurse - Wages	918,278
Reg. Nurse - Hours	36,874
Lic. Practical Nurse - Wages	1,600,810
Lic. Practical Nurse - Hours	80,889
Nurse Aides - Wages	2,728,540
Nurse Aides - Hours	219,418
Habilitation Staff - Wages	0
Habilitation Staff - Hours	0
Respiratory Therapist - Wages	0
Respiratory Therapist - Hours	0
Quality Assurance - Wages	0
Quality Assurance - Hours	0
Behavioral & Mental Health Svcs - Wages	0
Behavioral & Mental Health Svcs - Hours	0
Consultant & Mgmt Fees - Wages	0
Consultant & Mgmt Fees - Hours	0
Other - Wages	0
Other - Hours	0
Home Office Costs - Wages	5,336,910
Home Office Costs - Hours	339,322
Total - Wages	20,304
Total - Hours	1,068

Item Name:	Item Value:
In-House Trainer - Wages	0
In-House Trainer - Hours	0
Classroom - Wages	0
Classroom - Hours	0
Clinical - Wages	20,304
Clinical - Hours	1,068
Total - Wages	0
Total - Hours	0

Item Name:	Item Value:
Physical Therapist - Wages	0
Physical Therapist - Hours	0
Physical Therapy Assistant - Wages	0
Physical Therapy Assistant - Hours	0
Occupational Therapist - Wages	0
Occupational Therapist - Hours	0
Occupational Therapy Assistant - Wages	0
Occupational Therapy Assistant - Hours	0
Speech Therapist - Wages	0
Speech Therapist - Hours	0
Audiologist - Wages	0
Audiologist - Hours	0
EAP Administrator - Wages	0
EAP Administrator - Hours	0
Self Funded Program Admin - Wages	--
Self Funded Program Admin - Hours	0
Staff Development - Wages	0
Staff Development - Hours	0
Total - Wages	0
Total - Hours	0

Item Name:	Item Value:
EAP Administrator - Wages	0
EAP Administrator - Hours	0
Self Funded Programs Administrator - Wages	0
Self Funded Programs Administrator - Hours	0
Staff Development - Wages	0
Staff Development - Hours	0
Total - Wages	5,357,210
Total - Hours	340,390

Item Name:	Item Value:
Registered Nurse	0
Licensed Practical Nurse	36,198
Nurse Aides	36,198
Total	20,304

Item Name:	Item Value:
In-House Trainer	0
Classroom Wages	0
Clinical Wages	0
Books & Supplies	0
Transportation	0
Tuition Payments	0
Tuition Reimbursement	0
Contractual Payments to Other NFs	664
Registration/Application Fees	4,872
Employee Fringe Benefits	25,840
Total	927,683

Item Name:	Item Value:
Physical Therapist	0
Physical Therapy Assistant	141,795
Occupational Therapist	0
Occupational Therapy Assistant	103,105
Speech Therapist	0
Audiologist	0
Payroll Taxes	0
Workers Comp	0
Employee Fringe Benefits	0
EAP Administrator	0
Self Funded Program Admin	0
Staff Development	1,172,580
Total	408,867

Item Name:	Item Value:
Payroll Taxes	224,017
Workers Comp	883,166
Employee Fringe Benefits	0
EAP Administrator	0
Self Funded Programs Admin	0
Staff Development	1,516,050
Total	8,469,280

Item Name:	Item Value:
Medical Director	61,952
Director of Nursing	89,279
RN Charge Nurse	0
LPN Charge Nurse	0
Registered Nurse	918,685
Licensed Practical Nurse	1,604,880
Nurse Aides	2,728,540
Habilitation Staff	0
Respiratory Therapist	0
Quality Assurance	3,774
Behavioral & Mental Health Svcs	0
Consulting & Mgmt Fees	0
Other Nursing & Habilitation/Rehab	0
Home Office Costs	5,407,110
Total	10,165

Item Name:	Item Value:
Medicare Supplies: Medicare Billable	197,325
Medical Supplies: Medicare Non-Billable	0
Oxygen Emergency Stand-By	60,591
Oxygen Other Than Emergency Stand-By	6,688
Habilitation Supplies	36,736
Universal Precaution Supplies	311,505
Total	0

Item Name:	Item Value:
Payroll Taxes	139,043
Workers Compensation	31,748
Employee Fringe Benefits	299,626
EAP Administrator	0
Self Funded Prog Admin	0
Staff Development	3,079
Total	473,496

Item Name:	Item Value:
Legend Drugs	0
Radiology	0
Laboratory	0
Other	0
Late Fees, Fines, and Pentalties	0
Federal Income Tax	0
State Income Tax	0
Local Income Tax	0
Insurance: Officers' Life	0
Promotional Advertising & Marketing	0
Contributions & Donations	0
Bad Debt	0
Parenteral Nutrition Therapy	301,709
Franchise Permit Fees	22,654
Total	53,399

Item Name:	Item Value:
Medicare Billable	0
Medicare Non-Billable	0
Total	0

Item Name:	Item Value:
Heat, Light, and Power	135,938
Water & Sewage	22,000
Trash & Refuse Removal	20,860
Hazardous Medical Waste Collection	13,783
Total	192,581

Item Name:	Item Value:
Administrator	89,148
Other Admin Personnel	351,295
Consulting & Management Fees	5,806
Office & Admin Supplies	93,394
Communications	16,866
Security Svcs	942
Travel and Entertainment	4,312
Resident Transportation	55,036
Legal Svcs	14,638
Accounting	144,030
Dues, Subscriptions, & Licenses	41,967
Interest: Other	0
Insurance	182,466
Data Svcs	37,424
Help Wanted/Information Advertising	3,312
Amortization of Start-up Costs	0
Amortization of Org. Costs	0
Other	0
Home Office Costs	0
Total	1,772,260

Item Name:	Item Value:
Plant Operations/Maintenance Supervisor	15,834
Plant Operations & Maintenance	227,676
Repair & Maintenance	55,781
Minor Equipment	70,624
Custom Wheelchairs	0
Leased Equipment	0
Total	369,915

Item Name:	Item Value:
Medical/Habilitation Records	131,157
Pharmaceutical Consultant	0
Incontinence Supplies	123,028
Personal Care Supplies	0
Program Supplies	48,309
Total	302,494

Item Name:	Item Value:
Activity Director	42,819
Activity Staff	92,750
Recreational Therapist	0
Psychologist	22,000
Psychology Assistant	0
Social Work Counseling	47,537
Social Services: Pastoral Care	121,369
Habilitation Supervisor	0
Program Director	0
Qualified Mental Retardation Pro.	0
Total	326,475

Item Name:	Item Value:
Dietician	48,515
Food Svc Supervisor	0
Personnel	321,413
Supplies	0
Minor Equip.	0
Maint & Repair	0
Food	798,851
Employee Meals	0
Contract Meals or Personnel	0
Medicare Billable Enterals	0
Medicare NonBillable Enterals	15,993
Payroll Taxes	31,209
Workers Comp	7,801
Fringe Benefits	132,089
EAP Administrator	0
Self Funded Programs Admin	0
Staff Development	0
Total	1,355,870
Dieticians Hours Paid	2,080
Food Svc Supervisor Hours Paid	0
Personnel Hours Paid	29,899

Item Name:	Item Value:
Salaries	16,525
Hours Paid	42,027
Other & Contract	0
Total	16,525
HK & Laundry Supervisor	16,525
HK & Laundry Supervisor Hrs Paid	787

Item Name:	Item Value:
Salaries	459,632
Other and Contract	36,863
Total	496,495
Hours Paid	4,295
HK & Laundry Supervisor	16,525
HK & Laundry Supervisor Hrs Paid	787

Item Name:	Item Value:
FTEs on 1st Payroll	118
FTEs on Last Payroll	117
Retention Rate	99.2

Item Name:	Item Value:
Medicaid Cert. Days	2,376
Medicaid Auth. Days	38,153
Medicaid Hospital Leave Days @ 50%	162
Medicaid Therapeutic Leave Days @ 50%	18.5
Medicaid Total	38,333.5
Medicaid Managed Care	255
Private	19,101
Medicare	6,106
Veteran	2,797
Total	66,592

Item Name:	Item Value:
Name
Title
Number	2168311200
Company Name	Howard, Wershbale & Co.
Address	Four Commerce Park Square : 23240 Chagrin Blvd.
State	OH
City	Cleveland
Zip	44122

Item Name:	Item Value:
Name	Crandall Medical Center
Address	800 S. 15th Street :
State	OH
City	Sebring
Zip	44672

Item Name:	Item Value:
End Date	2010-12-31
Begin Date	2010-01-01
Occupancy	92.1
Home Office
Corporation	Crandall Medical Center
Total Patient Days	66,592

Item Name:	Item Value:
Name	Crandall Medical Center
Address	800 S. 15th Street :
City	Sebring
State	OH
Zip	44672

Item Name:	Item Value:
Name	David Mannion
Phone	3309386126
Fax	3309389660
Title	Controller

Item Name:	Item Value:
Name
Address
State
City
Zip

Name	Experience	Begin Date	End Date	Weekly Hours	Comp.
Bob Cameron	10	2010-01-01	2010-12-31	40.5	89,148

Name	Title
Robert Amery	Director
Delores Campbell	Director
Sarah Chappell	Director
Gary Davison	Director
Daniel Griffith	Treasurer
Lee Hardgrove	Director
Thomas Ryan	Director
John Scarpitti	Vice President
Bruce Slagle	Secretary
Leland Van Camp	President
George Conner	Director
Nancy Bell	Director

Item Name:	Item Value:
Real Estate	0
Personal Property	0
Franchise	0
Commercial Activity	0
Total	0

Vendor	Amount	Service
Absolute	1,172,580	Therapies Pt, Ot, & St
Paris H/C Linen	170,500	Towels & Linens
Drs. Vrable & Cohen	35,800	Medical Directors
Absolute Pharmacy	301,709	Pharmaceuticals
Emergency Medical Transport	58,500	Ambulance
Portable Radiology Services	14,600	X Rays
Med Lab	12,900	Lab Services

Item Name:	Item Value:
Capital	3,096,790
Due from Owners/Officers	0
Related Party Loans Interest: NonAllowable	0
NonInterest Bearing Loans from Related Party	0
Equity in Assets Leased from Related Party	0
Home Office	0
Cash Surrender Value of Life Insurance Policy	0
Total	3,096,790

Item Name:	Item Value:
Property, Plant, and Equip.	7,357,050
Accum. Deprec. & Amort.	-5,630,600
NonExtensive Renovations	1,060,410
Accum. Deprec. & Amort. NonExtensive Renovations	-609,735
Total	2,177,130

Item Name:	Item Value:
NonCurrent Investments	374,596
Deposits	0
Due from Owners/Officers	0
Deferred Charges & Other Assets	0
Notes Receivable: Long Term	0
Total	374,596

Item Name:	Item Value:
Accounts Payable	413,557
Cost Settlements	0
Notes Payable	0
Current Portion of Long Term Debt	0
Accrued Compensation	650,824
Payroll Related Withholding & Liabilities	129,245
Taxes Payable	0
Other	538,394
Total	1,732,020

Item Name:	Item Value:
Long Term Debt	0
Related Party Loans: Interest Allowable	0
Related Party Loans: Interest NonAllowable	0
NonInterest Bearing Loans from Owners	0
Deferred Liabilities	0
Total	0

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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 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	Ohio Average	Crandall Medical Center
Nurse Staffing Star Rating
Total Number of Residents	88.45	82.53	181.0
Total Number of Licensed Nurse Staff Hours per Resident per Day	1 hour and 35 minutes	1 hour and 37 minutes	1 hour and 48 minutes
RN Hours per Resident per Day	45 minutes	44 minutes	35 minutes
RN Staff Only Star Rating
LPN/LVN Hours per Resident per Day	50 minutes	54 minutes	1 hour and 13 minutes
CNA Hours per Resident per Day	2 hours and 28 minutes	2 hours and 21 minutes	3 hours and 4 minutes

Quality Measures	National Average	Ohio Average	Crandall Medical Center
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	86.36%	86.36%	74%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	85.25%	85.25%	64%
NOTE: for the following measures, lower percentages are better.
Percent of long-stay residents whose need for help with daily activities has increased	13.31%	13.31%	11%
Percent of long-stay residents who have moderate to severe pain	3.06%	3.06%	5%
Percent of high-risk long-stay residents who have pressure sores	9.73%	9.73%	12%
Percent of low-risk long-stay residents who have pressure sores	1.51%	1.51%	3%
Percent of long-stay residents who were physically restrained	2.59%	2.59%	0%
Percent of long-stay residents who are more depressed or anxious	13.63%	13.63%	26%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	47.49%	47.49%	45%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	4.76%	4.76%	7%
Percent of long-stay residents who spend most of their time in bed or in a chair	3.81%	3.81%	2%
Percent of long-stay residents whose ability to move about in and around their room got worse	10.22%	10.22%	9%
Percent of long-stay residents who had a urinary tract infection	8.43%	8.43%	12%
Percent of long-stay residents who lose too much weight	7.20%	7.20%	7%
Short-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of short-stay residents given influenza vaccination during the flu season	77.85%	77.85%	47%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	76.94%	76.94%	36%
NOTE: For the following Measures, Lower Percentages are better.
Percent of short-stay residents who have delirium	1.31%	1.31%	10%
Percent of short-stay residents who had moderate to severe pain	17.17%	17.17%	18%
Percent of short-stay residents who have pressure sores	10.78%	10.78%	10%

Resident Rights Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Keep each resident's personal and medical records private and confidential.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated
2. Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.	2011-04-21	2011-06-01	Minimal harm or potential for actual harm	Isolated
3. Provide enough notice before discharging or transferring a resident.	2011-04-21	2011-06-01	Minimal harm or potential for actual harm	Isolated
4. Protect the resident from a transfer or discharge that is not wanted or needed.	2011-04-21	2011-06-01	Minimal harm or potential for actual harm	Isolated

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.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Widespread

Environmental Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated

Resident Assessment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Make a complete assessment that covers all questions for areas that are listed in official regulations.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated
2. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	2010-06-10	2010-07-19	Minimal harm or potential for actual harm	Isolated
3. Make a complete assessment that covers all questions for areas that are listed in official regulations.	2011-04-21	2011-06-01	Minimal harm or potential for actual harm	Isolated

Quality Care Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Give professional services that meet a professional standard of quality.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated
2. Make sure that each resident's nutritional needs were met.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated
3. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated
4. Provide activities to meet the needs of each resident.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated
5. Give professional services that follow each resident's written care plan.	2010-06-10	2010-07-19	Minimal harm or potential for actual harm	Isolated
6. Develop/implement required procedures for the administration of immunizations.	2010-06-10	2010-07-19	Potential for minimal harm	Widespread
7. Give each resident care and services to get or keep the highest quality of life possible.	2010-06-10	2010-07-19	Minimal harm or potential for actual harm	Isolated

Administration Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Follow all laws and professional standards.	2009-06-11	2009-07-20	Minimal harm or potential for actual harm	Isolated

Pharmacy Service Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. At least once a month, have a licensed pharmacist check the drugs that each resident takes.	2011-04-21	2011-06-01	Minimal harm or potential for actual harm	Isolated
2. Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	2011-04-21	2011-06-01	Minimal harm or potential for actual harm	Isolated

Medical Gases and Anesthetizing Areas Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Proper fire barriers, ventilation and signs for the transport of oxygen.	2010-06-09	2010-07-19	Minimal harm or potential for actual harm	Pattern
2. Proper medical gas storage and administration areas.	2009-06-09	2009-07-20	Minimal harm or potential for actual harm	Pattern

Electrical Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Weekly inspections and monthly testing of generators.	2010-06-09	2010-07-19	Minimal harm or potential for actual harm	Widespread

Hazardous Area Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Construction that can resist fire for one hour or an approved fire extinguishing system.	2009-06-09	2009-07-20	Minimal harm or potential for actual harm	Widespread

Automatic Sprinkler Systems Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Automatic sprinkler systems that have been maintained in working order.	2010-06-09	2010-07-19	Minimal harm or potential for actual harm	Widespread
2. Automatic sprinkler systems that have been maintained in working order.	2009-06-09	2009-07-20	Minimal harm or potential for actual harm	Widespread

Miscellaneous Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Fire safety features required by current fire safety codes.	2010-06-09	2010-07-19	Minimal harm or potential for actual harm	Pattern

Exits and Egress Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Corridors or aisles that are unobstructed and are at least 8 feet in width.	2009-06-09	2009-07-20	Minimal harm or potential for actual harm	Widespread

Emergency Plans and Fire Drills Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Record of quarterly fire drills for each shift under varying conditions.	2010-06-09	2010-07-19	Potential for minimal harm	Widespread

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:
Petty Cash	200
Cash in Banks: General Account	736,896
Accounts Receivable	1,560,970
Allowance for Uncollectible Accounts	-44,074
Notes Receivable	0
Allowance for Uncollectible Notes Receivable	0
Other Receivables	0
Cost Settlement	0
Inventories	0
Prepaid Expenses	23,098
Short Term Investments	0
Special Expenses	0
Total	2,277,090

General Revenue (View Report Statewide)

Other Revenue (View Report Statewide)

NonOperating Revenue (View Report Statewide)

Administrative & General Services (View Report Statewide)

Maintenance Personnel (View Report Statewide)

Habilitation & Pharmaceutical (View Report Statewide)

Activities, Habilitation, & Social Services (View Report Statewide)

Direct Care Nursing (View Report Statewide)

Nurse Aide Training (View Report Statewide)

Direct Care Therapies (View Report Statewide)

Direct Care Payroll Taxes, Benefits, Staff Devel. (View Report Statewide)

Purchased Nursing Services (View Report Statewide)

Nurse Aide Training (View Report Statewide)

Therapies (View Report Statewide)

Payroll Taxes, Benefits, & Staff Develop. (View Report Statewide)

Nursing & Habilitation/Rehabilitation (View Report Statewide)

Med Habilitation Universal Precaution Supplies (View Report Statewide)

Payroll Taxes, Benefits & Staff Development (View Report Statewide)

NonReimbursable Expenses (View Report Statewide)

Medical Minor Equipment (View Report Statewide)

Utility Costs (View Report Statewide)

Administrative and General Services (View Report Statewide)

Maintenance & Minor Equipment (View Report Statewide)

Medical Records, Pharmacy, & Supplies (View Report Statewide)

Activities, Habilitation, & Social Services (View Report Statewide)

Dietary (View Report Statewide)

Housekeeping (View Report Statewide)

Laundry (View Report Statewide)

Employee Retention Rate (View Report Statewide)

Inpatient Days (View Report Statewide)

Preparer (View Report Statewide)

Real Estate Owner (View Report Statewide)

Facility Summary (View Report Statewide)

Mortgage Holder (View Report Statewide)

Facility Corporation (View Report Statewide)

Report Contact (View Report Statewide)

Home Office (View Report Statewide)

Administrator Compensation (View Report Statewide)

Officers or Partners (View Report Statewide)

Common Ownership (View Report Statewide)

Relatives of Owners (View Report Statewide)

Tax Costs (View Report Statewide)

Excess Related Party Payments (View Report Statewide)

Compensation from Related Facs (View Report Statewide)

Contracts (View Report Statewide)

Equity (View Report Statewide)

Property, Plant, & Equipment (View Report Statewide)

Other Assets (View Report Statewide)

Current Liabilities (View Report Statewide)

Long Term Liabilities (View Report Statewide)

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Current Assets (View Report Statewide)

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Other Cost Report Years:

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

Resident Rights Deficiencies

Nutrition and Dietary Deficiencies

Environmental Deficiencies

Resident Assessment Deficiencies

Quality Care Deficiencies

Administration Deficiencies

Pharmacy Service Deficiencies

Medical Gases and Anesthetizing Areas Deficiencies

Electrical Deficiencies

Hazardous Area Deficiencies

Automatic Sprinkler Systems Deficiencies

Miscellaneous Deficiencies

Exits and Egress Deficiencies

Emergency Plans and Fire Drills Deficiencies

Resident Councils

Ownership Type

Multiple Nursing Home Ownership

Registered Nurse

Licensed Practical and Vocational Nurse

Certified Nursing Assistant

On Site Services

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

Percentage of High Risk Residents Who Have Pressure Sores

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

Percentage of Residents Who Were Physically Restrained