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T L C Health Network Lake Shore Hosp Nursing Fac

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About T L C Health Network Lake Shore Hosp Nursing Fac

General Information

Legal Business NameTlc Health Network
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 5, 1992 (25 years)
Capacity120
Residents14
Percent Occupied12%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for T L C Health Network Lake Shore Hosp Nursing Fac

T L C Health Network Lake Shore Hosp Nursing Fac
was reviewed by Medicare to have a rating of 1 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

November 10, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionProvide resident groups or resident family groups with private space to meet.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionEnsure the activities program is directed by a qualified professional.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

April 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly sized and located linen or trash receptacles.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionPortable fire extinguishers.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionProperly constructed piped-in oxygen systems.
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmHealth InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionExit stairways and towers that are smoke proof.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of T L C Health Network Lake Shore Hosp Nursing Fac 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 35min
2hr 40min
ReportedExpected
CNA
55min
55min
ReportedExpected
LPN
35min
1hr 35min
ReportedExpected
RN
4hr 5min
5hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
97.4%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
96.0%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
47.4%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
16.3%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
14.2%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
5.3%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
6.5%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
7.5%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
10.6%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
4.9%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
2.8%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
2.7%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
1.4%
Q1 2015Q2 2015Q3 2015NY
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

97.4%
98.4%
98.1%
82.1%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
97.2%
92.1%
92.1%
84.6%
Q1 2015Q2 2015Q3 2015NY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
27.7%
31.7%
44.2%
12.9%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
2.2%
Q1 2015Q2 2015Q3 2015NY
Newly Received an Antipsychotic Medication
2.4%
1.8%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015NY
With Pressure Ulcers That Are New or Worsened