MT LORETTO NURSING HOME INC - AMSTERDAM, NY

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MT LORETTO NURSING HOME INC
302 SWART HILL ROAD
AMSTERDAM, NY, 12010

Phone (make sure to verify first before calling): (518) 842-6790

Number of Certified Beds: 120
Total Number of Residents: 84
Percent of Occupied Beds: 70%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 8.01
Administrative Staff - Part Time: 3.56
Certified Nurse Aides - Full Time: 17.11
Certified Nurse Aides - Part Time: 26.50
Dietitians - Under Contract: 0.46
Food Service Personnel - Full Time: 6.56
Food Service Personnel - Part Time: 7.29
Housekeeping Personnel - Full Time: 10.03
Licensed Practical/ Vocational Nurses - Full Time: 14.73
Licensed Practical/ Vocational Nurses - Part Time: 5.70
Medical Directors - Under Contract: 0.34
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 5.96
Physical Therapists - Under Contract: 1.14
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Part Time: 0.34
Dentists - Under Contract: 0.23
Nurses With Administrative Duties - Part Time: 0.91
Occupational Therapists - Under Contract: 0.57
Podiatrists - Under Contract: 0.06
Other Physicians - Under Contract: 0.46
Persons Not Included In Any Other Categories - Part Time: 3.79
Housekeeping Personnel - Part Time: 3.96
Physical Therapy Aide - Full Time: 1.06
Licensed Practical/ Vocational Nurses - Under Contract: 1.29
Nurses With Administrative Duties - Under Contract: 2.23
Certified Nurse Aides - Under Contract: 2.03

Provided Services

Activities 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 Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To 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 Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

This Nursing Home:	98.0%
State:	93.5%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	93.0%
State:	93.6%

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

This Nursing Home:	8.0%
New York:	13.3%

Percent of long-stay residents who have moderate to severe pain

Here:	1.0%
State:	2.2%

Percent of high-risk long-stay residents who have pressure sores

Here:	10.0%
New York:	12.0%

Percent of long-stay residents who are more depressed or anxious

Here:	10.0%
State:	12.6%

Percent of low-risk long-stay residents who lose control of their bowels or bladder

Here:	53.0%
New York:	53.5%

Percent of long-stay residents who have/had a catheter inserted and left in their bladder

This Nursing Home:	5.0%
State:	4.1%

Percent of long-stay residents who spend most of their time in bed or in a chair

This Nursing Home:	9.0%
State:	1.8%

Percent of long-stay residents whose ability to move about in and around their room got worse

This Nursing Home:	17.0%
New York:	11.9%

Percent of long-stay residents who had a urinary tract infection

This Nursing Home:	2.0%
New York:	7.5%

Percent of long-stay residents who lose too much weight

This Nursing Home:	7.0%
New York:	7.5%

Percent of short-stay residents given influenza vaccination during the flu season

Here:	83.0%
State:	86.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.690
State:	0.622

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.980
State:	0.760

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.670
State:	1.382

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	2.000
State:	2.314

Complaint Deficiency

Make sure that each resident gets help to keep vision and hearing: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Isolated (Minimal harm or potential for actual harm)

Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help: Pattern (Minimal harm or potential for actual harm)

Set up or keep a group of people to review and ensure quality: Pattern (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Widespread (Immediate jeopardy to resident health or safety)

Set up or keep a group of people to review and ensure quality: Widespread (Immediate jeopardy to resident health or safety)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Widespread (Minimal harm or potential for actual harm)

Be administered in a way that leads to the highest possible level of well being for each resident: Widespread (Immediate jeopardy to resident health or safety)

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator: Widespread (Immediate jeopardy to resident health or safety)

Protect each resident from all abuse, physical punishment, and being separated from others: Widespread (Immediate jeopardy to resident health or safety)

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: Widespread (Immediate jeopardy to resident health or safety)

Provide care in a way that keeps or builds each resident's dignity and self respect: Pattern (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Pattern (Potential for minimal harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

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