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Epworth Healthcare And Rehabilitation Center

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About Epworth Healthcare And Rehabilitation Center

General Information

Legal Business NameGuardian Elder Care At Tyrone I, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 1, 1978 (38 years)
Capacity102
Residents96
Percent Occupied94%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Epworth Healthcare And Rehabilitation Center

Epworth Healthcare And Rehabilitation Center
was reviewed by Medicare to have a rating of 3 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 27, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
DFewPotential for HarmComplaintHire sufficient dietary support personnel.
DFewPotential for HarmComplaintPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.

April 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
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.
CManyPotential for Minimal HarmFire Safety InspectionOther fire safety features required by fire safety codes.

April 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 InspectionHave a program that investigates, controls and keeps infection from spreading.
BSomePotential for Minimal HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

May 30, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
BSomePotential for Minimal HarmHealth InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.

May 7, 2014 - 3 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 InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

February 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Epworth Healthcare And Rehabilitation 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
2hr 30min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
35min
1hr 25min
ReportedExpected
RN
3hr 30min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.8%
97.8%
97.8%
95.7%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
81.2%
81.2%
71.2%
94.0%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
40.0%
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
22.2%
25.0%
18.4%
16.8%
Q1 2015Q2 2015Q3 2015PA
Received an Antipsychotic Medication
10.8%
18.3%
18.9%
15.3%
Q1 2015Q2 2015Q3 2015PA
Need for Help with ADLs has Increased
9.3%
9.7%
10.7%
8.3%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
12.9%
11.2%
10.1%
7.6%
Q1 2015Q2 2015Q3 2015PA
Lose Too Much Weight
4.8%
7.4%
3.7%
5.3%
Q1 2015Q2 2015Q3 2015PA
High Risk Residents With Pressure Ulcers
12.7%
5.6%
3.8%
3.5%
Q1 2015Q2 2015Q3 2015PA
Have Depressive Symptoms
3.5%
6.2%
0.0%
4.3%
Q1 2015Q2 2015Q3 2015PA
With a Urinary Tract Infection
3.5%
1.2%
5.0%
3.2%
Q1 2015Q2 2015Q3 2015PA
Experiencing One or More Falls with Major Injury
9.6%
6.6%
3.7%
3.3%
Q1 2015Q2 2015Q3 2015PA
With a Catheter Inserted and Left in Their Bladder
1.2%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015PA
Were Physically Restrained

Quality Measures for Short Stay Residents

65.7%
55.9%
25.0%
82.8%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
80.4%
78.8%
78.8%
83.4%
Q1 2015Q2 2015Q3 2015PA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
7.3%
14.6%
12.6%
18.2%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
0.0%
1.2%
1.1%
2.0%
Q1 2015Q2 2015Q3 2015PA
Newly Received an Antipsychotic Medication
0.6%
0.7%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015PA
With Pressure Ulcers That Are New or Worsened