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St Mary's D'Youville Pavilion

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About St Mary's D'Youville Pavilion

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 7, 1984 (33 years)
Capacity210
Residents199
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for St Mary's D'Youville Pavilion

St Mary's D'Youville Pavilion
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Maine Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 8, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

May 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

March 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

October 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of St Mary's D'Youville Pavilion require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 50min
2hr 35min
ReportedExpected
CNA
15min
40min
ReportedExpected
LPN
1hr 25min
1hr 5min
ReportedExpected
RN
4hr 35min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.3%
95.7%
95.7%
96.4%
Q1 2015Q2 2015Q3 2015ME
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.0%
98.0%
96.7%
94.6%
Q1 2015Q2 2015Q3 2015ME
Assessed and Appropriately Given the Pneumococcal Vaccine
71.4%
55.3%
69.2%
62.0%
Q1 2015Q2 2015Q3 2015ME
Low Risk Residents Who Lose Control of Their Bowel or Bladder
14.9%
14.7%
15.0%
18.4%
Q1 2015Q2 2015Q3 2015ME
Received an Antipsychotic Medication
12.4%
5.6%
13.0%
14.2%
Q1 2015Q2 2015Q3 2015ME
Need for Help with ADLs has Increased
16.2%
17.2%
17.1%
12.0%
Q1 2015Q2 2015Q3 2015ME
Self Report Moderate to Severe Pain
8.2%
7.5%
10.5%
8.7%
Q1 2015Q2 2015Q3 2015ME
Lose Too Much Weight
8.5%
7.8%
8.6%
4.4%
Q1 2015Q2 2015Q3 2015ME
High Risk Residents With Pressure Ulcers
8.7%
13.1%
12.3%
10.4%
Q1 2015Q2 2015Q3 2015ME
Have Depressive Symptoms
6.1%
6.1%
5.3%
5.8%
Q1 2015Q2 2015Q3 2015ME
With a Urinary Tract Infection
2.7%
4.1%
5.9%
3.8%
Q1 2015Q2 2015Q3 2015ME
Experiencing One or More Falls with Major Injury
6.0%
3.8%
5.2%
3.2%
Q1 2015Q2 2015Q3 2015ME
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.3%
Q1 2015Q2 2015Q3 2015ME
Were Physically Restrained

Quality Measures for Short Stay Residents

90.4%
88.9%
91.9%
85.2%
Q1 2015Q2 2015Q3 2015ME
Assessed and Appropriately Given the Pneumococcal Vaccine
91.7%
85.5%
85.5%
84.0%
Q1 2015Q2 2015Q3 2015ME
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
29.1%
25.9%
28.6%
21.9%
Q1 2015Q2 2015Q3 2015ME
Self Report Moderate to Severe Pain
1.8%
2.2%
1.9%
1.8%
Q1 2015Q2 2015Q3 2015ME
Newly Received an Antipsychotic Medication
1.1%
1.5%
2.0%
1.2%
Q1 2015Q2 2015Q3 2015ME
With Pressure Ulcers That Are New or Worsened