Hospital and Nursing Home Profiles  

VILLAGE AT LUTHER SQUARE, THE - ERIE, PA

 



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Submitted by:Nila Bill, Administrator
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 110

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 110

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 110

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 110

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): No

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): August 2011

Institution representatives - add corrected or new information about VILLAGE AT LUTHER SQUARE, THE »

Address
149 WEST 22ND STREET
ERIE, PA, 16502
Phone (make sure to verify first before calling): (814) 452-3271

Number of Certified Beds: 110
Total Number of Residents: 106
Percent of Occupied Beds: 96%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
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: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 19.37
Certified Nurse Aides - Part Time: 13.43
Food Service Personnel - Full Time: 6.63
Food Service Personnel - Part Time: 8.21
Housekeeping Personnel - Full Time: 9.14
Licensed Practical/ Vocational Nurses - Full Time: 12.07
Licensed Practical/ Vocational Nurses - Part Time: 4.40
Persons Not Included In Any Other Categories - Full Time: 16.00
Physical Therapists - Under Contract: 0.71
Registered Nurses - Full Time: 4.57
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.71
Activities Professionals - Full Time: 0.57
Dietitians - Part Time: 0.86
Medical Directors - Part Time: 0.23
Occupational Therapists - Under Contract: 1.14
Pharmacists - Under Contract: 0.07
Speech Pathologists - Under Contract: 1.14
Other Physicians - Under Contract: 0.17
Persons Not Included In Any Other Categories - Part Time: 3.43
Registered Nurses - Part Time: 1.54
Occupational Therapy Assistants - Under Contract: 0.57
Housekeeping Personnel - Part Time: 1.14
Physical Therapy Aide - Under Contract: 0.54
Occupational Therapy Aides - Under Contract: 0.54

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite 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 Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy 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
  • Podiatry Services Are Provided Offsite 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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.540
Pennsylvania:

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

0.870
Pennsylvania:

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

1.410
State:

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

0.050
Pennsylvania:

0.089
Number Therapy Hours Per Resident Per Day
Here:

0.050
State:

0.090

Quality Measures

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

11.4%
Pennsylvania:

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

16.2%
Pennsylvania:

10.2%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

14.9%
Pennsylvania:

5.9%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

32.5%
State:

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

1.1%
State:

3.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

94.0%
State:

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

83.3%
Pennsylvania:

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

25.0%
State:

21.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

1.2%
Pennsylvania:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

63.7%
Pennsylvania:

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

63.9%
Pennsylvania:

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

6.8%
State:

2.6%
Percent of long-stay residents who received an antipsychotic medication
Here:

21.3%
State:

22.2%

Complaint Deficiency

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

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

Exits that are free from obstructions and can be used at all times: Many (Potential for minimal harm)

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

Restrictions on the use of flammable curtains: Some (Minimal harm or potential for actual harm)

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

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

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

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

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

Restrictions on the use of flammable curtains: Few (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)

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)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Honor all of the resident's rights as a resident of the nursing home, free of coercion and reprisal, and as a citizen or resident of the United States: 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)

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

Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (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)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: 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)

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)

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

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: 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)

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

Provide routine and 24-hour emergency dental care for 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)

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space: 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)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (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)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Few (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)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Potential for minimal harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: 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)

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

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

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

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm)

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