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MONROE COMMUNITY HOSPITAL - ROCHESTER, NY

 



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Address
435 EAST HENRIETTA ROAD
ROCHESTER, NY, 14620
Phone (make sure to verify first before calling): (585) 760-6500

Number of Certified Beds: 566
Total Number of Residents: 547
Percent of Occupied Beds: 97%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities


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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 33.74
Administrative Staff - Part Time: 1.66
Certified Nurse Aides - Full Time: 210.83
Certified Nurse Aides - Part Time: 10.17
Food Service Personnel - Full Time: 48.99
Food Service Personnel - Part Time: 17.87
Housekeeping Personnel - Full Time: 58.39
Licensed Practical/ Vocational Nurses - Full Time: 115.13
Licensed Practical/ Vocational Nurses - Part Time: 6.11
Medical Directors - Under Contract: 0.54
Mental Health Services Personnel - Under Contract: 2.11
Nurses With Administrative Duties - Full Time: 25.99
Persons Not Included In Any Other Categories - Full Time: 105.87
Registered Nurses - Full Time: 34.77
Rn Director Of Nursing - Full Time: 0.63
Social Workers - Full Time: 9.23
Activities Professionals - Full Time: 6.44
Activities Professionals - Part Time: 1.24
Dentists - Under Contract: 0.80
Food Service Personnel - Under Contract: 5.71
Podiatrists - Under Contract: 0.06
Housekeeping Personnel - Under Contract: 4.57
Other Physicians - Under Contract: 2.64
Physician Extenders - Under Contract: 6.97
Dietitians - Full Time: 1.26
Sppech Pathologists - Full Time: 2.29
Persons Not Included In Any Other Categories - Part Time: 11.31
Registered Nurses - Part Time: 0.81
Social Workers - Part Time: 0.64
Housekeeping Personnel - Part Time: 6.19
Pharmacists - Full Time: 3.26
Occupational Therapists - Full Time: 3.80
Physical Therapists - Full Time: 5.70
Occupational Therapy Assistants - Full Time: 2.26
Physical Therapy Aide - Full Time: 2.17
Licensed Practical/ Vocational Nurses - Under Contract: 5.77
Certified Nurse Aides - Under Contract: 17.10
Pharmacists - Part Time: 0.14
Medication Aides/ Technicians - Full Time: 3.17

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Non Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Non Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Non Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Non Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Non Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Non Residents
  • Podiatry 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
  • Vocational Services Are Provided Offsite To Residents

Staff Information

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

0.640
New York:

0.637
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.290
New York:

0.790
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.930
State:

1.425
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.040
State:

0.080
Number Therapy Hours Per Resident Per Day
Here:

0.040
State:

0.081

Quality Measures

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

20.4%
State:

15.6%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

15.2%
New York:

7.6%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

10.5%
State:

8.4%
Percent of long-stay residents who lose too much weight
This Nursing Home:

8.7%
New York:

6.4%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

52.0%
State:

41.1%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

3.8%
State:

3.1%
Percent of long-stay residents with a urinary tract infection
Here:

7.9%
State:

6.8%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

5.3%
State:

12.6%
Percent of long-stay residents who were physically restrained
Here:

1.4%
New York:

2.3%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

1.8%
New York:

2.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

97.0%
New York:

96.7%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

92.9%
State:

97.3%
Percent of short-stay residents who self-report moderate to severe pain
Here:

35.9%
New York:

16.9%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

2.8%
State:

1.8%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

58.7%
State:

86.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

60.7%
State:

85.0%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

3.2%
State:

3.1%
Percent of long-stay residents who received an antipsychotic medication
Here:

18.6%
State:

20.8%

Complaint Deficiency

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: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

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

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

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

Emergency lighting that can last at least 1 1/2 hours: 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)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: 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 housekeeping and maintenance services: Few (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: Some (Minimal harm or potential for actual harm)

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

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Some (Minimal harm or potential for actual 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)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

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

Did not have a written emergency evacuation plan: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Some (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)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (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: Some (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Few (Minimal harm or potential for actual harm)

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

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual 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)

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: 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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

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