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Lutheran Retirement Home

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About Lutheran Retirement Home

General Information

Legal Business NameLutheran Social Services Of Upstate New York, Inc.
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 29, 1968 ()
Capacity148
Residents145
Percent Occupied98%
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 Lutheran Retirement Home

Lutheran Retirement Home
was reviewed by Medicare to have a rating of 2 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

October 23, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
BSomePotential for Minimal HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.

August 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

September 27, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$6,370 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lutheran Retirement Home 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 35min
ReportedExpected
CNA
1hr
40min
ReportedExpected
LPN
50min
1hr 5min
ReportedExpected
RN
4hr 15min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 30min 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
100.0%
98.4%
99.2%
96.0%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
50.0%
43.3%
59.6%
47.4%
Q1 2015Q2 2015Q3 2015NY
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.8%
9.9%
11.9%
16.3%
Q1 2015Q2 2015Q3 2015NY
Received an Antipsychotic Medication
7.8%
13.1%
9.5%
14.2%
Q1 2015Q2 2015Q3 2015NY
Need for Help with ADLs has Increased
16.5%
26.6%
18.3%
5.3%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
6.7%
4.9%
3.1%
6.5%
Q1 2015Q2 2015Q3 2015NY
Lose Too Much Weight
4.1%
3.9%
4.6%
7.5%
Q1 2015Q2 2015Q3 2015NY
High Risk Residents With Pressure Ulcers
5.2%
8.5%
4.8%
10.6%
Q1 2015Q2 2015Q3 2015NY
Have Depressive Symptoms
8.3%
5.7%
4.7%
4.9%
Q1 2015Q2 2015Q3 2015NY
With a Urinary Tract Infection
2.5%
4.1%
3.1%
2.8%
Q1 2015Q2 2015Q3 2015NY
Experiencing One or More Falls with Major Injury
3.4%
2.7%
2.7%
2.7%
Q1 2015Q2 2015Q3 2015NY
With a Catheter Inserted and Left in Their Bladder
1.7%
0.8%
1.6%
1.4%
Q1 2015Q2 2015Q3 2015NY
Were Physically Restrained

Quality Measures for Short Stay Residents

83.7%
80.5%
85.5%
82.1%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
97.5%
97.5%
97.5%
84.6%
Q1 2015Q2 2015Q3 2015NY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
19.8%
30.2%
25.7%
12.9%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
0.0%
0.0%
1.2%
2.2%
Q1 2015Q2 2015Q3 2015NY
Newly Received an Antipsychotic Medication
1.1%
0.9%
2.1%
1.2%
Q1 2015Q2 2015Q3 2015NY
With Pressure Ulcers That Are New or Worsened