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Pavilion At St Luke Village, The

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About Pavilion At St Luke Village, The

General Information

Legal Business NamePavilion At St. Luke Village Facility Operations, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 29, 1969 ()
Capacity120
Residents105
Percent Occupied88%
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 St Luke Village, The

Pavilion At St Luke Village, 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

September 11, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
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 Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
ESomePotential for 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 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 InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

July 15, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,950 fine

October 31, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionKeep each resident free from drugs that restrain them, unless needed for medical treatment.
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.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionEnsure the activities program is directed by a qualified professional.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.

October 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
CManyPotential for Minimal HarmFire Safety InspectionApproved construction type or materials.

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 St Luke Village, 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.

2hr 10min
2hr 30min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
3hr 30min
4hr 15min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

98.9%
97.9%
97.9%
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
43.3%
-
42.4%
56.0%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.7%
17.9%
20.3%
16.8%
Q1 2015Q2 2015Q3 2015PA
Received an Antipsychotic Medication
22.8%
15.3%
17.6%
15.3%
Q1 2015Q2 2015Q3 2015PA
Need for Help with ADLs has Increased
6.6%
12.0%
2.6%
8.3%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
7.7%
7.1%
2.6%
7.6%
Q1 2015Q2 2015Q3 2015PA
Lose Too Much Weight
0.0%
2.9%
0.0%
5.3%
Q1 2015Q2 2015Q3 2015PA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.5%
Q1 2015Q2 2015Q3 2015PA
Have Depressive Symptoms
1.1%
1.2%
2.6%
4.3%
Q1 2015Q2 2015Q3 2015PA
With a Urinary Tract Infection
5.4%
3.4%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015PA
Experiencing One or More Falls with Major Injury
1.2%
1.5%
1.3%
3.3%
Q1 2015Q2 2015Q3 2015PA
With a Catheter Inserted and Left in Their Bladder
2.2%
2.3%
2.6%
0.7%
Q1 2015Q2 2015Q3 2015PA
Were Physically Restrained

Quality Measures for Short Stay Residents

96.2%
98.3%
93.2%
82.8%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
93.2%
93.9%
93.9%
83.4%
Q1 2015Q2 2015Q3 2015PA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.4%
14.7%
4.2%
18.2%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
2.0%
Q1 2015Q2 2015Q3 2015PA
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015PA
With Pressure Ulcers That Are New or Worsened