Golden Livingcenter West Shore

Current State: None change

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

Overall Facility Star Rating:
Address:: 770 Poplar Church Road
Camp Hill, PA 17011, Cumberland County
Phone:: (717)763-7070
Medicare Cost Reports Available from:: 1997-01-01 To 2010-12-31
Health Survey Star Rating:
Health Survey:: 47 Deficiencies Listed | 2010-10-21
Fire Survey:: 0 Deficiencies Listed | 2010-10-21 | Sprinkler Status: fully sprinklered

Item Name:	Item Value:
FY Begin	01/01/10
FY End	12/31/10
Medicare Intermediary
Fax	7177637850
MA Number	1015531520001
Administrator	Beverly Fry
Square Footage	87,815
NonAllowable Sq Footage	0
Beds at Period Begin	309
Beds at Period End	309

Item Name:	Item Value:
Total Patient Days	71,739
Beds at Period Begin	309
Beds at Period End	309
Percent Occupancy	0.6
Bed Days Available	112,785
Resident Days	71,739
Resident Days at 90%	0.6
MA Resident Days of Care	42,884
Private Rate	0
Medicare Rate	448.8

Item Name:	Item Value:
Name	1
Firm
Phone	0

Item Name:	Item Value:
Nursing Facility MA	37,035
Nursing Facility MA MCO	166
Nursing Facility MA LTCCAP	0
Nursing Facility MA Hospice	5,683
Nursing Facility Medicare	16,701
Nursing Facility Other	12,154
Residential and Other	0
Total	71,739
MA NF Hospital Leave Days	449
Other NF Hospital Leave Days	124

Item Name:	Item Value:
Owners Equity-Current	0
Owners Equity-Prior	0
Stock Outstanding-Current	0
Stock Outstanding-Prior	0
Retained Earn.-Current	8,373,887
Retained Earn.-Prior	7,412,773
Operating Profit-Current	3,889,630
Operating Profit-Prior	2,924,574
Balance-Current	10,422,596
Balance-Prior	8,373,887
Total-Current	10,422,596
Total-Prior	8,373,887
Other RE Acc. Trans.-Current	-1,840,921
Other RE Acc. Trans.-Prior	-1,963,460

Item Name:	Item Value:
Acc. Payable-Current	398,859
Acc. Payable-Prior	373,871
Notes Payable-Current	0
Notes Payable-Prior	0
Other-Current	--
Other-Prior	--
Total-Current	2,173,958
Total-Prior	1,986,638

Item Name:	Item Value:
Acc. Payable-General	0
Acc. Payable-Estates	0
Acc. Payable-facility	0
Due to Commonwealth Escheats	0
Other	0
Total	0

Item Name:	Item Value:
Land - Current	655,458
Land - Prior	655,458
Buildings - Current	13,346,609
Buildings - Prior	13,336,902
Lease. Improve. Current	0
Lease. Improve. Prior	0
Equipment - Current	2,108,801
Equipment - Prior	2,100,820
Total - Current	16,110,868
Total - Prior	16,093,180
Accum. Deprec. Current	11,182,341
Accum. Deprec. Prior	10,641,739
Net Total Current	4,928,527
Net Total Prior	5,451,441

Item Name:	Item Value:
Cash - Current	6,427
Cash - Prior	5,684
Acc./Notes Receiv. Current	7,585,542
Acc./Notes Receiv. Prior	4,839,228
Inventories - Current	58,170
Inventories - Prior	55,297
Investments - Current	0
Investments - Prior	0
Prepaid Expense - Current	2,438
Prepaid Expense - Prior	1,150
Total - Current	7,652,577
Total - Prior	4,901,359

Item Name:	Item Value:
Notes Receiv. Current	0
Notes Receiv. Prior	0
Other - Current	15,450
Other - Prior	7,725

Item Name:	Item Value:
NonInterest Accounts	0
Petty Cash	0
Interest Checking	0
Savings Acc.	0
CoDs	0
Other Cash Acc.	0
Acc. Receivable	0
Other	0
Total	0

Item Name:	Item Value:
Real Estate Taxes	87,882
Major Movable Property	0
NF Assessment	1,416,868
Depreciation	540,609
Interest on Capital Indebtedness	0
Rent of Facility	0
Amort. Capital Costs	0
Total	2,045,359

Item Name:	Item Value:
Admin. Salary	118,366
Admin. Benefits	29,157
Admin. Other	0
Admin. Total	147,523
Office Personnel Salary	319,389
Office Personnel Benefits	78,676
Office Personnel Other	0
Office Personnel Total	398,065
Manag. Fees Salary	0
Manag. Fees Benefits	0
Manag. Fees Other	0
Manag. Fees Total	0
Home Office Salary	0
Home Office Benefits	0
Home Office Other	82,557
Home Office Total	82,557
Prof. Services Salary	0
Prof. Services Benefits	0
Prof. Services Other	809,637
Prof. Services Total	809,637
Determination Of - Salary	0
Determination Of - Benefits	0
Determination Of - Other	0
Determination Of - Total	0
Gift Shop Salary	0
Gift Shop Benefits	0
Gift Shop Other	0
Gift Shop Total	0
Advertising	134,297
Travel & Entertainment	9,486
Telephone	42,217
Insurance	174,101
Other Interest	0
Legal Fees	5,306
Fed or State Corp or Capital Stock	698
Office Supplies	39,681
Amort. of Admin Costs	0
Officers Life	0
Minor Movable Property	15,944
Other	60,438
Total Salaries	437,755
Total Benefits	107,833
Total Other	1,374,362
Total	1,919,950

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	0
Total	0
Adjustments	0
Allowable Costs	0

Item Name:	Item Value:
Salary	117,649
Fringe Benefits	24,742
Other	727,154
Total	869,545
Adjustments	-5,105
Allowable Costs	864,440

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	0
Total	0
Adjustments	0
Allowable Costs	0

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	100,250
Total	100,250
Adjustments	-79,720
Allowable Costs	20,530

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	22,390
Total	22,390
Adjustments	-19,640
Allowable Costs	2,750

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	14,707
Total	14,707
Adjustments	0
Allowable Costs	14,707

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	1,895,288
Total	1,895,288
Adjustments	-353,697
Allowable Costs	1,541,591

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	183,114
Total	183,114
Adjustments	-183,114
Allowable Costs	0

Item Name:	Item Value:
Salary	48,603
Fringe Benefits	10,887
Other	85,766
Total	145,256
Adjustments	-4,582
Allowable Costs	140,674

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	26,848
Total	26,848
Adjustments	0
Allowable Costs	26,848

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Fringe Benefits	0
Other	651,040
Total	651,040
Adjustments	-651,040
Allowable Costs	0

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	0
Total	0
Adjustments	0
Allowable Costs	0

Item Name:	Item Value:
Salary	149,539
Fringe Benefits	40,200
Other	67,779
Total	257,518
Adjustments	0
Allowable Costs	257,518

Item Name:	Item Value:
Salary	142,877
Fringe Benefits	35,503
Other	1,808
Total	180,188
Adjustments	0
Allowable Costs	180,188

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	30,000
Total	30,000
Adjustments	0
Allowable Costs	30,000

Item Name:	Item Value:
Salary	0
Fringe Benefits	0
Other	0
Total	0
Adjustments	0
Allowable Costs	0

Item Name:	Item Value:
Salary	45,446
Fringe Benefits	11,159
Other	425
Total	57,030
Adjustments	-3,253
Allowable Costs	53,777

Item Name:	Item Value:
Salary	99,817
Fringe Benefits	0
Other	2,971
Total	102,788
Adjustments	0
Allowable Costs	102,788

Item Name:	Item Value:
Salary	5,832,531
Fringe Benefits	1,452,011
Other	453,985
Total	7,738,527
Adjustments	0
Allowable Costs	7,738,527

Item Name:	Item Value:
Administrator Salary	118,366
Administrator Benefits	29,157
Administrator Contract	0
Ass. Admin Salary	71,486
Ass. Admin Benefits	17,151
Ass. Admin Contract	0
Chief of Fiscal Salary	41,795
Chief of Fiscal Benefits	10,027
Chief of Fiscal Contract	0
Dir of Nursing Salary	99,817
Dir of Nursing Benefits	24,431
Dir of Nursing Contract	2,971
Facility Engineer Salary	114,382
Facility Engineer Benefits	24,055
Facility Engineer Contract	0
Appr. Feeding Assist. Salary	0
Appr. Feeding Assist. Benefits	0
Appr. Feeding Assist. Contract	0

Item Name:	Item Value:
RN Salary	1,096,503
RN Benefits	279,464
RN Hours Worked	30,583
RN FTE	16
LPN Salary	1,994,898
LPN Benefits	521,730
LPN Hours Worked	79,283
LPN FTE	41
Nurse Aide Salary	2,741,130
Nurse Aide benefits	650,817
Nurse Aide Hours Worked	174,205
Nurse Aide FTE	89
Orderlies Salary	0
Orderlies Benefits	0
Orderlies Hours Worked	0
Orderlies FTE	0

Item Name:	Item Value:
RN Salary	33,736
RN Hours Worked	436
RN FTE	0
LPN Salary	0
LPN Hours Worked	0
LPN FTE	0
Nurse Aide Salary	0
Nurse Aide Hours Worked	0
Nurse Aide FTE	0
Orderlies Salary	0
Orderlies Hours Worked	0
Orderlies FTE	0

Item Name:	Item Value:
Nursing Care	11,039,768
Practitioners	0
Pharmacy Presc. Drugs	0
Over the Counter Drugs	0
Medical Supplies	0
Laboratory & XRays	0
Phys. Occ. & Speech Therapy	-131
Oxygen	0
Beauty & Barber	0
Except. DME Grant Payments	18,178
Total	0

Item Name:	Item Value:
Discounts	0
Guest and Emp. Meals	0
Vending Machines	0
Television	0
Telephone	0
Unres. Interest/Invest. Income	0
Total	30,584

Item Name:	Item Value:
Resident Receipts	0
Interest Earned	0
Total Revenues	0
Payments to Facility	0
Resident Expenditures	0
Other Expenditures	0
Total Expenditures	0
Rev. Over/Under Expenditures	0
Beg. Fund Balance	0
End Fund Balance	0

Amount	Service	Business Name	Owner	Fac Ownership	Rel. Business Ownership
1	Rehab Services	Aegis, Therapies, Inc.	Golden Gate Ancillary Llc	0	1
11	Procurement Services	Ceres Strategies, Inc.	Golden Gate Ancillary Llc	0	1
12	Administrative Services	Ggnsc Clinical Services, Llc	Golden Gate National Senior Care Llc	1	0
99	Nursing Allocation	Ggnsc Clinical Services, Llc	Golden Gate National Senior Care Llc	1	0
6	Dietary Allocation	Ggnsc Clinical Services, Llc	Golden Gate National Senior Care Llc	1	0
752	Administrative Services	Ggnsc Administrative Services Llc	Ggnsc Holdings Llc	1	1
0	Social Services Allocation	Ggnsc Clinical Services, Llc	Golden Gate National Senior Care Llc	1	0
0	Rehab Equip. Training	Aegis, Therapies, Inc.	Golden Gate Ancillary Llc	0	1
36	Temporary Staffing	360 Healthcare Staffing, Llc	Golden Gate Ancillary Llc	0	1
0	Temporary Staffing	360 Healthcare Staffing, Llc	Golden Gate Ancillary Llc	0	1
0	Rx Services	Ggnsc Clinical Services, Llc	Golden Gate National Senior Care Llc	1	0

Item Name:	Item Value:
Land-Original Cost	400,000
Buildings-Original Cost	13,346,609
Buildings-Deprec.	507,814
Fixed Equip.-Original Cost	0
Fixed Equip.-Deprec.	0
Movable Prop.-Original Cost	2,108,801
Movable Prop.-Deprec.	13,903
Transport. Equip.-Original Cost	0
Transport. Equip.-Deprec.	0
Total-Original Costs	16,110,868
Total-Depreciation	540,609

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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	Pennsylvania Average	Golden Livingcenter West Shore
Nurse Staffing Star Rating
Total Number of Residents	88.90	114.37	199.0
Total Number of Licensed Nurse Staff Hours per Resident per Day	1 hour and 34 minutes	1 hour and 44 minutes	1 hour and 53 minutes
RN Hours per Resident per Day	44 minutes	53 minutes	40 minutes
RN Staff Only Star Rating
LPN/LVN Hours per Resident per Day	50 minutes	51 minutes	1 hour and 14 minutes
CNA Hours per Resident per Day	2 hours and 28 minutes	2 hours and 16 minutes	2 hours and 25 minutes

Quality Measures	National Average	Pennsylvania Average	Golden Livingcenter West Shore
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%	85%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	85.82%	85.82%	79%
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%	19%
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%	4%
Percent of low-risk long-stay residents who have pressure sores	1.52%	1.52%	2%
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%	24%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	47.77%	47.77%	54%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	4.79%	4.79%	5%
Percent of long-stay residents who spend most of their time in bed or in a chair	3.84%	3.84%	3%
Percent of long-stay residents whose ability to move about in and around their room got worse	10.29%	10.29%	21%
Percent of long-stay residents who had a urinary tract infection	8.48%	8.48%	6%
Percent of long-stay residents who lose too much weight	7.25%	7.25%	9%
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%	77%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	77.32%	77.32%	78%
NOTE: For the following Measures, Lower Percentages are better.
Percent of short-stay residents who have delirium	1.31%	1.31%	0%
Percent of short-stay residents who had moderate to severe pain	17.26%	17.26%	19%
Percent of short-stay residents who have pressure sores	10.85%	10.85%	4%

Quality Care Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	2010-10-21	2010-12-07	Minimal harm or potential for actual harm	Isolated
2. Give each resident care and services to get or keep the highest quality of life possible.	2010-08-03	2010-09-07	Minimal harm or potential for actual harm	Isolated
3. Give each resident care and services to get or keep the highest quality of life possible.	2010-02-23	2010-03-23	Minimal harm or potential for actual harm	Isolated
4. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	2009-11-13	2010-01-12	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.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
6. Give professional services that meet a professional standard of quality.	2009-01-30	2009-03-24	Minimal harm or potential for actual harm	Isolated
7. Give each resident care and services to get or keep the highest quality of life possible.	2008-04-30	2008-06-16	Minimal harm or potential for actual harm	Isolated
8. Give each resident care and services to get or keep the highest quality of life possible.	2008-01-31	2008-02-29	Minimal harm or potential for actual harm	Isolated
9. Give each resident enough fluids to keep them healthy and prevent dehydration.	2007-11-08	2007-11-30	Actual harm	Isolated

Administration Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Quickly tell the resident's doctor the results of lab tests.	2010-08-03	2010-09-07	Minimal harm or potential for actual harm	Isolated
2. Keep accurate and appropriate medical records.	2010-08-03	2010-09-07	Minimal harm or potential for actual harm	Isolated
3. Keep accurate and appropriate medical records.	2009-11-13	2010-01-12	Minimal harm or potential for actual harm	Isolated
4. Train all employees on what to do in an emergency.	2009-11-13	2010-01-12	Minimal harm or potential for actual harm	Isolated
5. Keep accurate and appropriate medical records.	2009-09-09	2009-10-13	Minimal harm or potential for actual harm	Isolated
6. Keep accurate and appropriate medical records.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
7. Give or get lab tests to meet the needs of residents.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
8. Be administered in a way that leads to the highest possible level of well being for each resident.	2008-02-29	2008-03-31	Minimal harm or potential for actual harm	Pattern

Environmental Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Make sure that the nursing home area is free of dangers that cause accidents.	2011-01-20	2011-03-01	Actual harm	Isolated
2. Make sure that the nursing home area is free of dangers that cause accidents.	2009-11-13	2010-01-12	Minimal harm or potential for actual harm	Isolated
3. Make sure that the nursing home area is free of dangers that cause accidents.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
4. Keep safe, clean and homelike surroundings.	2009-06-18	2009-07-21	Potential for minimal harm	Pattern
5. Have a program to keep infection from spreading.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
6. Make sure that the nursing home area is free of dangers that cause accidents.	2008-09-12	2008-10-21	Actual harm	Isolated
7. Make sure that the nursing home area is free of dangers that cause accidents.	2008-07-10	2008-08-26	Actual harm	Isolated
8. Provide needed housekeeping and maintenance.	2008-02-29	2008-03-31	Minimal harm or potential for actual harm	Pattern
9. Put firmly secured handrails on each side of hallways.	2008-02-29	2008-03-31	Minimal harm or potential for actual harm	Pattern
10. Make sure there is a program to prevent/deal with mice, insects, or other pests.	2008-02-29	2008-03-31	Minimal harm or potential for actual harm	Widespread
11. Make sure that the nursing home area is safe, easy to use, clean and comfortable.	2008-02-29	2008-03-31	Minimal harm or potential for actual harm	Pattern
12. Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	2008-02-29	2008-03-31	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.	2008-02-29	2008-03-31	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. Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	2011-01-12	2011-03-01	Minimal harm or potential for actual harm	Isolated
2. 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.	2010-10-21	2010-12-07	Minimal harm or potential for actual harm	Isolated
3. Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	2008-07-10	2008-08-26	Minimal harm or potential for actual harm	Pattern

Pharmacy Service Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly mark drugs and other similar products.	2009-11-13	2010-01-12	Minimal harm or potential for actual harm	Isolated
2. Make sure that residents are safe from serious medication errors.	2009-01-30	2009-03-24	Minimal harm or potential for actual harm	Isolated
3. At least once a month, have a licensed pharmacist check the drugs that each resident takes.	2009-01-30	2009-03-24	Minimal harm or potential for actual harm	Isolated

Resident Rights Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	2011-01-12	2011-03-01	Minimal harm or potential for actual harm	Isolated
2. Provide services to meet the needs and preferences of each resident.	2010-10-21	2010-12-07	Minimal harm or potential for actual harm	Isolated
3. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	2010-07-16	2010-08-24	Minimal harm or potential for actual harm	Isolated
4. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
5. Try to resolve each resident's complaints quickly.	2009-03-12	2009-03-25	Minimal harm or potential for actual harm	Pattern

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.	2010-08-03	2010-09-07	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.	2010-02-23	2010-03-23	Minimal harm or potential for actual harm	Isolated
3. 1) develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	2009-11-13	2010-01-12	Minimal harm or potential for actual harm	Isolated
4. Make sure that doctors visit residents regularly, as required.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
5. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	2009-06-18	2009-07-21	Minimal harm or potential for actual harm	Isolated
6. Make sure all assessments are accurate, coordinated by an rn, done by the right professional, and are signed by the person completing them.	2009-05-22	2009-06-16	Minimal harm or potential for actual harm	Isolated

There are no reported fire safety survey deficiencies

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.

Facility Summary (View Report Statewide)

Bed Days & Pay Rates (View Report Statewide)

Preparer Information (View Report Statewide)

Resident Census (View Report Statewide)

Capital (View Report Statewide)

Current Liabilities (View Report Statewide)

Period End Balance - Liabilities (View Report Statewide)

Property, Plant, & Equipment (View Report Statewide)

Current Assets (View Report Statewide)

Other Assets (View Report Statewide)

Period End Balance - Assets (View Report Statewide)

Capital Costs (View Report Statewide)

Administrative (View Report Statewide)

ORR Minor Movable Property (View Report Statewide)

Plant Operations & Maintenance (View Report Statewide)

Nurse Aid Training (View Report Statewide)

RC Minor Movable Property (View Report Statewide)

Beauty & Barber (View Report Statewide)

Oxygen (View Report Statewide)

Physical, Occupational, & Speech Therapy (View Report Statewide)

Labs & X-Rays (View Report Statewide)

Medical Supplies (View Report Statewide)

Over the Counter Drugs (View Report Statewide)

Pharmacy Prescription Drugs (View Report Statewide)

Volunteer Services (View Report Statewide)

Resident Activities (View Report Statewide)

Social Services (View Report Statewide)

Medical Director (View Report Statewide)

Practitioners (View Report Statewide)

Related Clerical Staff (View Report Statewide)

Director of Nursing (View Report Statewide)

Nursing (View Report Statewide)

Owner Compensation (View Report Statewide)

Selected Personnel Salaries (View Report Statewide)

Nursing Care Staffing - Employed (View Report Statewide)

Nursing Care Staffing-Registry, Pooled, Contract (View Report Statewide)

Resident Care Revenue (View Report Statewide)

Other Income (View Report Statewide)

Revenues, Expeniditures & Fund Balance Changes (View Report Statewide)

Contracts (View Report Statewide)

Related Transactions (View Report Statewide)

Depreciation (View Report Statewide)

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Other Cost Report Years:

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

Quality Care Deficiencies

Administration Deficiencies

Environmental Deficiencies

Nutrition and Dietary Deficiencies

Mistreatment Deficiencies

Pharmacy Service Deficiencies

Resident Rights Deficiencies

Resident Assessment Deficiencies

There are no reported fire safety survey 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

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

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

Five Star Quality Rating

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

Percentage of Residents with a Urinary Tract Infection

Percentage of Residents Who Are More Depressed or Anxious

Percentage of Residents Who Lose Too Much Weight

Percentage of Residents Who Have Moderate to Severe Pain

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

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

Overall Rating

Health Inspection Result Rating

Staffing Rating

Quality Measures Rating

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