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Lackawanna Health And Rehab Center

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About Lackawanna Health And Rehab Center

General Information

Legal Business NameLackawanna Acquisition I, LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 27, 1978 (39 years)
Capacity272
Residents192
Percent Occupied71%
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 Lackawanna Health And Rehab Center

Lackawanna Health And Rehab Center
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 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 28, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
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 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 HarmComplaint+InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
BSomePotential for Minimal HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.

August 5, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

July 2, 2015 - 17 months 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.

April 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

September 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

September 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
ESomePotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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.
BSomePotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

April 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaintProvide clean bed and bath linens that are in good condition.
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

January 2, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide clean bed and bath linens that are in good condition.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lackawanna Health And Rehab Center 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 25min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
25min
1hr 15min
ReportedExpected
RN
3hr 25min
4hr 25min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

95.8%
94.6%
94.6%
95.7%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.4%
98.3%
97.8%
94.0%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
46.8%
52.6%
44.6%
56.0%
Q1 2015Q2 2015Q3 2015PA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
24.0%
21.4%
23.7%
16.8%
Q1 2015Q2 2015Q3 2015PA
Received an Antipsychotic Medication
24.4%
13.3%
18.2%
15.3%
Q1 2015Q2 2015Q3 2015PA
Need for Help with ADLs has Increased
2.2%
4.2%
4.7%
8.3%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
10.2%
5.9%
5.8%
7.6%
Q1 2015Q2 2015Q3 2015PA
Lose Too Much Weight
4.3%
2.5%
6.8%
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
3.2%
1.7%
5.0%
4.3%
Q1 2015Q2 2015Q3 2015PA
With a Urinary Tract Infection
2.6%
2.8%
2.2%
3.2%
Q1 2015Q2 2015Q3 2015PA
Experiencing One or More Falls with Major Injury
4.1%
4.7%
3.0%
3.3%
Q1 2015Q2 2015Q3 2015PA
With a Catheter Inserted and Left in Their Bladder
1.6%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015PA
Were Physically Restrained

Quality Measures for Short Stay Residents

90.6%
89.3%
81.3%
82.8%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
90.6%
90.6%
90.6%
83.4%
Q1 2015Q2 2015Q3 2015PA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
25.0%
23.2%
24.2%
18.2%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
2.5%
0.0%
0.0%
2.0%
Q1 2015Q2 2015Q3 2015PA
Newly Received an Antipsychotic Medication
3.2%
3.8%
2.6%
1.2%
Q1 2015Q2 2015Q3 2015PA
With Pressure Ulcers That Are New or Worsened