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CHURCH OF GOD HOME, INC - CARLISLE, PA

 



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Address
801 N. HANOVER STREET
CARLISLE, PA, 17013
Phone (make sure to verify first before calling): (717) 249-5322

Number of Certified Beds: 109
Total Number of Residents: 105
Percent of Occupied Beds: 96%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 13.71
Certified Nurse Aides - Full Time: 50.53
Certified Nurse Aides - Part Time: 15.91
Dietitians - Under Contract: 0.46
Food Service Personnel - Full Time: 32.51
Housekeeping Personnel - Full Time: 12.66
Licensed Practical/ Vocational Nurses - Full Time: 16.29
Licensed Practical/ Vocational Nurses - Part Time: 3.00
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 3.43
Persons Not Included In Any Other Categories - Full Time: 12.29
Physical Therapists - Under Contract: 1.14
Registered Nurses - Full Time: 3.89
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 2.29
Occupational Therapists - Under Contract: 1.14
Speech Pathologists - Under Contract: 0.57
Nurse Aides In Training - Full Time: 1.87
Registered Nurses - Part Time: 3.44
Occupational Therapy Assistants - Under Contract: 1.14

Provided Services

  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Offsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Offsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

21.6%
State:

15.9%
Percent of long-stay residents who self-report moderate to severe pain
Here:

7.8%
Pennsylvania:

10.2%
Percent of long-stay high-risk residents with pressure ulcers
Here:

5.4%
State:

5.9%
Percent of long-stay residents who lose too much weight
This Nursing Home:

6.5%
Pennsylvania:

7.4%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

67.2%
Pennsylvania:

56.0%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

4.6%
Pennsylvania:

3.9%
Percent of long-stay residents with a urinary tract infection
Here:

6.5%
State:

5.3%
Percent of long-stay residents who have depressive symptoms
Here:

4.3%
State:

4.6%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

6.4%
State:

3.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

4.3%
State:

95.1%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

97.9%
State:

94.5%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

23.7%
Pennsylvania:

21.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

36.0%
Pennsylvania:

85.6%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

92.0%
Pennsylvania:

84.4%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

11.7%
State:

22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.460
State:

0.760
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.060
State:

0.830
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.520
Pennsylvania:

1.587
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.080
Pennsylvania:

0.089
Number Therapy Hours Per Resident Per Day
Here:

0.080
Pennsylvania:

0.090

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Corridors or aisles that are unobstructed and are at least 8 feet in width: Some (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Many (Potential for minimal harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Few (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Many (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Many (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Many (Minimal harm or potential for actual harm)

At least two compartments on every floor to protect residents from smoke: Many (Potential for minimal harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

At least two remote exits on each floor or fire section of the building: Many (Potential for minimal harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Properly constructed linen or trash chutes: Many (Minimal harm or potential for actual harm)

Properly sized and located linen or trash receptacles: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

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