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Monroe Community Hospital

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About Monroe Community Hospital

General Information

Legal Business NameCounty Of Monroe
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity566
Residents534
Percent Occupied94%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Monroe Community Hospital

Monroe Community Hospital
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

July 21, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

April 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

January 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
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 that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential 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 Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

July 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

May 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

April 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
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 InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

March 29, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$4,550 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 Monroe Community Hospital 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 30min
ReportedExpected
CNA
1hr 15min
45min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
4hr 20min
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

99.6%
99.6%
99.6%
97.4%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.0%
98.8%
99.6%
96.0%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
51.3%
48.5%
45.0%
47.4%
Q1 2015Q2 2015Q3 2015NY
Low Risk Residents Who Lose Control of Their Bowel or Bladder
17.8%
13.4%
14.0%
16.3%
Q1 2015Q2 2015Q3 2015NY
Received an Antipsychotic Medication
20.4%
20.4%
19.5%
14.2%
Q1 2015Q2 2015Q3 2015NY
Need for Help with ADLs has Increased
15.7%
21.9%
21.3%
5.3%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
8.7%
6.1%
6.6%
6.5%
Q1 2015Q2 2015Q3 2015NY
Lose Too Much Weight
8.8%
7.8%
6.8%
7.5%
Q1 2015Q2 2015Q3 2015NY
High Risk Residents With Pressure Ulcers
7.4%
7.2%
10.5%
10.6%
Q1 2015Q2 2015Q3 2015NY
Have Depressive Symptoms
4.6%
3.2%
3.4%
4.9%
Q1 2015Q2 2015Q3 2015NY
With a Urinary Tract Infection
1.2%
1.4%
2.0%
2.8%
Q1 2015Q2 2015Q3 2015NY
Experiencing One or More Falls with Major Injury
3.5%
2.8%
3.6%
2.7%
Q1 2015Q2 2015Q3 2015NY
With a Catheter Inserted and Left in Their Bladder
0.2%
0.2%
3.8%
1.4%
Q1 2015Q2 2015Q3 2015NY
Were Physically Restrained

Quality Measures for Short Stay Residents

83.6%
87.7%
95.4%
82.1%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
93.7%
92.2%
92.2%
84.6%
Q1 2015Q2 2015Q3 2015NY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
25.6%
16.9%
29.8%
12.9%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
2.2%
2.9%
0.8%
2.2%
Q1 2015Q2 2015Q3 2015NY
Newly Received an Antipsychotic Medication
2.1%
1.6%
1.9%
1.2%
Q1 2015Q2 2015Q3 2015NY
With Pressure Ulcers That Are New or Worsened