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Our Ladys Residence

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About Our Ladys Residence

General Information

Legal Business NameOur Lady's Residence
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity214
Residents152
Percent Occupied71%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Our Ladys Residence

Our Ladys Residence
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 New Jersey 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

August 25, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
BSomePotential for Minimal HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.

January 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

October 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
BSomePotential for Minimal HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Our Ladys Residence 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 20min
2hr 20min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
45min
1hr
ReportedExpected
RN
3hr 55min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.2%
97.2%
97.2%
96.4%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.7%
97.8%
94.9%
95.1%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
72.2%
73.7%
75.9%
36.7%
Q1 2015Q2 2015Q3 2015NJ
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.4%
16.8%
15.1%
13.5%
Q1 2015Q2 2015Q3 2015NJ
Received an Antipsychotic Medication
18.3%
19.4%
15.8%
12.9%
Q1 2015Q2 2015Q3 2015NJ
Need for Help with ADLs has Increased
13.2%
13.9%
18.8%
3.7%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
5.5%
5.9%
8.8%
7.3%
Q1 2015Q2 2015Q3 2015NJ
Lose Too Much Weight
3.3%
8.2%
6.4%
6.7%
Q1 2015Q2 2015Q3 2015NJ
High Risk Residents With Pressure Ulcers
2.4%
0.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015NJ
Have Depressive Symptoms
6.2%
5.2%
0.7%
3.7%
Q1 2015Q2 2015Q3 2015NJ
With a Urinary Tract Infection
4.5%
5.1%
4.4%
2.5%
Q1 2015Q2 2015Q3 2015NJ
Experiencing One or More Falls with Major Injury
2.9%
3.9%
2.9%
2.7%
Q1 2015Q2 2015Q3 2015NJ
With a Catheter Inserted and Left in Their Bladder
3.0%
2.2%
4.4%
1.3%
Q1 2015Q2 2015Q3 2015NJ
Were Physically Restrained

Quality Measures for Short Stay Residents

77.1%
83.2%
91.9%
86.9%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
84.4%
84.4%
84.4%
86.2%
Q1 2015Q2 2015Q3 2015NJ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
14.3%
16.3%
15.2%
10.9%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
0.0%
1.3%
2.9%
1.6%
Q1 2015Q2 2015Q3 2015NJ
Newly Received an Antipsychotic Medication
0.0%
0.7%
0.7%
1.1%
Q1 2015Q2 2015Q3 2015NJ
With Pressure Ulcers That Are New or Worsened