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Upmc Magee-Womens Hospital Tcu

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About Upmc Magee-Womens Hospital Tcu

General Information

Legal Business NameMagee Womens Hospital Of University Of Pittsburgh Medical Center
Ownership TypeNon Profit - Other
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 16, 2005 (11 years)
Capacity20
Residents17
Percent Occupied85%
Program ParticipationMedicare
Resident And Family CouncilsNone
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Upmc Magee-Womens Hospital Tcu

Upmc Magee-Womens Hospital Tcu
was reviewed by Medicare to have a rating of 5 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

March 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionProperly constructed piped-in oxygen systems.
ESomePotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
CManyPotential for Minimal HarmFire Safety InspectionOther fire safety features required by fire safety codes.

March 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

February 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
CManyPotential for Minimal HarmHealth InspectionHave enough backup water supply for essential areas of the nursing home.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
CManyPotential for Minimal HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.

February 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Upmc Magee-Womens Hospital Tcu 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 5min
1hr 60min
ReportedExpected
CNA
45min
35min
ReportedExpected
LPN
3hr 30min
1hr 30min
ReportedExpected
RN
5hr 15min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 5hr 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
95.7%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
94.0%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
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
-
-
-
16.8%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
15.3%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.3%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
7.6%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
5.3%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
3.5%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
4.3%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
3.3%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
0.7%
Q1 2015Q2 2015Q3 2015PA
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
100.0%
100.0%
82.8%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
99.5%
99.5%
99.5%
83.4%
Q1 2015Q2 2015Q3 2015PA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
43.0%
32.7%
47.8%
18.2%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
2.1%
0.0%
0.0%
2.0%
Q1 2015Q2 2015Q3 2015PA
Newly Received an Antipsychotic Medication
0.8%
1.2%
1.0%
1.2%
Q1 2015Q2 2015Q3 2015PA
With Pressure Ulcers That Are New or Worsened