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POPE JOHN PAUL I I CENTER - DANBURY, CT

 



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Address
33 LINCOLN AVENUE
DANBURY, CT, 06810
Phone (make sure to verify first before calling): (203) 797-9300

Number of Certified Beds: 141
Total Number of Residents: 135
Percent of Occupied Beds: 96%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For 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?: Yes
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: 3 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.90
Administrative Staff - Part Time: 1.13
Certified Nurse Aides - Full Time: 19.54
Certified Nurse Aides - Part Time: 20.70
Food Service Personnel - Full Time: 7.94
Food Service Personnel - Part Time: 6.54
Housekeeping Personnel - Full Time: 13.41
Licensed Practical/ Vocational Nurses - Full Time: 3.63
Licensed Practical/ Vocational Nurses - Part Time: 3.16
Medical Directors - Under Contract: 0.29
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 6.66
Occupational Therapy Aides - Full Time: 1.11
Registered Nurses - Full Time: 8.44
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 2.29
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.11
Nurses With Administrative Duties - Part Time: 0.49
Occupational Therapists - Part Time: 0.06
Physical Therapists - Part Time: 0.40
Podiatrists - Under Contract: 0.11
Physician Extenders - Under Contract: 1.14
Registered Nurses - Under Contract: 3.34
Dietitians - Full Time: 0.91
Registered Nurses - Part Time: 2.84
Housekeeping Personnel - Part Time: 3.93
Physical Therapists - Full Time: 1.14
Licensed Practical/ Vocational Nurses - Under Contract: 8.13
Speech Pathologists - Part Time: 0.23
Certified Nurse Aides - Under Contract: 5.74
Occupational Therapy Aides - Part Time: 1.00

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 Extender 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
  • Speech/Language Pathology 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:

28.3%
State:

17.6%
Percent of long-stay residents who self-report moderate to severe pain
Here:

10.2%
Connecticut:

7.9%
Percent of long-stay high-risk residents with pressure ulcers
Here:

10.3%
State:

5.1%
Percent of long-stay residents who lose too much weight
This Nursing Home:

9.9%
Connecticut:

6.5%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

20.6%
Connecticut:

42.0%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

4.7%
State:

2.9%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

2.4%
State:

5.4%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

10.7%
State:

4.9%
Percent of long-stay residents who were physically restrained
Here:

3.2%
Connecticut:

1.5%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

5.6%
State:

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

95.9%
Connecticut:

95.2%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

76.6%
State:

95.0%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

4.8%
Connecticut:

21.5%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

97.2%
Connecticut:

85.5%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

92.2%
State:

82.1%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

5.1%
Connecticut:

2.6%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

25.2%
Connecticut:

25.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.880
State:

0.770
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.820
Connecticut:

0.777
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.700
State:

1.538
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.130
Connecticut:

0.108
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.130
Connecticut:

0.108

Complaint Deficiency

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: 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)

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)

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

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

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

Properly working alarms on sprinkler valves: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety)

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)

Properly installed electrical wiring and equipment: Few (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)

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

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

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

Conduct initial and periodic assessments of each resident's functional capacity: 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 services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Provide special eating equipment and utensils for each resident who needs them: Few (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 accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

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

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

Properly constructed piped-in oxygen systems: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: 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 services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: 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: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Give or get specialized rehabilitative services per the patient's assessment or plan of care: Few (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)

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