MONROE COMMUNITY HOSPITAL - ROCHESTER, NY
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Address 435 EAST HENRIETTA ROADPhone (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 EquivalentAdministrative Staff - Full Time: 33.74Administrative 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
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyMake 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) Other nearby hospitals and nursing homes
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