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Pavilion At Brmc, The

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About Pavilion At Brmc, The

General Information

Legal Business NameBradford Regional Medical Center
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1976 (40 years)
Capacity95
Residents85
Percent Occupied89%
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 Pavilion At Brmc, The

Pavilion At Brmc, The
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 Pennsylvania 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
FManyPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionProtected exits that allow the resident to escape the building.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

August 21, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
BSomePotential for Minimal HarmHealth InspectionHonor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.

February 23, 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.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

September 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
GFewActual HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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.
BSomePotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

September 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionFire resistant interior walls.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pavilion At Brmc, The 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.

1hr 50min
2hr 35min
ReportedExpected
CNA
35min
45min
ReportedExpected
LPN
40min
1hr 25min
ReportedExpected
RN
3hr 5min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.7%
98.7%
95.7%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
94.0%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
36.6%
48.9%
41.3%
56.0%
Q1 2015Q2 2015Q3 2015PA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
7.4%
6.2%
11.4%
16.8%
Q1 2015Q2 2015Q3 2015PA
Received an Antipsychotic Medication
25.0%
17.9%
15.3%
15.3%
Q1 2015Q2 2015Q3 2015PA
Need for Help with ADLs has Increased
0.9%
0.0%
0.0%
8.3%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
8.7%
9.0%
6.8%
7.6%
Q1 2015Q2 2015Q3 2015PA
Lose Too Much Weight
6.5%
4.2%
3.5%
5.3%
Q1 2015Q2 2015Q3 2015PA
High Risk Residents With Pressure Ulcers
4.5%
3.0%
2.9%
3.5%
Q1 2015Q2 2015Q3 2015PA
Have Depressive Symptoms
0.0%
1.5%
5.5%
4.3%
Q1 2015Q2 2015Q3 2015PA
With a Urinary Tract Infection
0.0%
0.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015PA
Experiencing One or More Falls with Major Injury
4.6%
2.9%
3.3%
3.3%
Q1 2015Q2 2015Q3 2015PA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015PA
Were Physically Restrained

Quality Measures for Short Stay Residents

92.7%
96.0%
96.4%
82.8%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
94.5%
94.5%
94.5%
83.4%
Q1 2015Q2 2015Q3 2015PA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
14.6%
5.6%
6.5%
18.2%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
1.3%
1.6%
1.8%
2.0%
Q1 2015Q2 2015Q3 2015PA
Newly Received an Antipsychotic Medication
2.4%
4.2%
3.3%
1.2%
Q1 2015Q2 2015Q3 2015PA
With Pressure Ulcers That Are New or Worsened