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St Peters Nursing And Rehabilitation Center

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About St Peters Nursing And Rehabilitation Center

General Information

Legal Business NameVilla Mary Immaculate
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity160
Residents132
Percent Occupied83%
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 Peters Nursing And Rehabilitation Center

St Peters Nursing And Rehabilitation Center
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 York 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

January 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.

February 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

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 Peters Nursing And Rehabilitation Center 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.

3hr 55min
2hr 30min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
50min
1hr 5min
ReportedExpected
RN
5hr 50min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 60min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
97.4%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.3%
99.2%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
52.5%
56.2%
58.1%
47.4%
Q1 2015Q2 2015Q3 2015NY
Low Risk Residents Who Lose Control of Their Bowel or Bladder
13.6%
14.9%
18.3%
16.3%
Q1 2015Q2 2015Q3 2015NY
Received an Antipsychotic Medication
5.3%
15.5%
12.0%
14.2%
Q1 2015Q2 2015Q3 2015NY
Need for Help with ADLs has Increased
4.7%
4.2%
10.9%
5.3%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
13.1%
10.3%
11.5%
6.5%
Q1 2015Q2 2015Q3 2015NY
Lose Too Much Weight
2.2%
3.3%
1.2%
7.5%
Q1 2015Q2 2015Q3 2015NY
High Risk Residents With Pressure Ulcers
0.0%
0.9%
0.0%
10.6%
Q1 2015Q2 2015Q3 2015NY
Have Depressive Symptoms
3.4%
2.5%
6.0%
4.9%
Q1 2015Q2 2015Q3 2015NY
With a Urinary Tract Infection
1.7%
3.3%
4.3%
2.8%
Q1 2015Q2 2015Q3 2015NY
Experiencing One or More Falls with Major Injury
3.2%
4.4%
6.5%
2.7%
Q1 2015Q2 2015Q3 2015NY
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.4%
Q1 2015Q2 2015Q3 2015NY
Were Physically Restrained

Quality Measures for Short Stay Residents

98.8%
98.7%
96.1%
82.1%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
99.2%
99.2%
84.6%
Q1 2015Q2 2015Q3 2015NY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
32.7%
26.2%
33.1%
12.9%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
1.5%
1.1%
0.5%
2.2%
Q1 2015Q2 2015Q3 2015NY
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.7%
1.2%
Q1 2015Q2 2015Q3 2015NY
With Pressure Ulcers That Are New or Worsened