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Cathedral Gerontology Center, Inc

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About Cathedral Gerontology Center, Inc

General Information

Legal Business NameCathedral Gerontology Center, Inc.
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 15, 1993 (24 years)
Capacity120
Residents104
Percent Occupied87%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cathedral Gerontology Center, Inc

Cathedral Gerontology Center, Inc
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 Florida 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 26, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$13,408 fine
LManyImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential 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 InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential 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.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
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 InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

June 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
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 InspectionReasonably accommodate the needs and preferences of each resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cathedral Gerontology Center, Inc 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 50min
2hr 20min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
50min
60min
ReportedExpected
RN
4hr 40min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.9%
100.0%
100.0%
100.0%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
98.0%
98.0%
99.0%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
41.9%
42.4%
51.9%
55.2%
52.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of low risk long-stay residents who lose control of their bowels or bladder
12.2%
19.8%
20.0%
22.8%
27.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
17.1%
16.8%
32.6%
15.4%
17.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose ability to move independently worsened
7.9%
8.9%
10.9%
13.5%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antipsychotic medication
16.0%
16.0%
22.8%
8.4%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose need for help with daily activities has increased
10.6%
11.5%
8.2%
8.7%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who self-report moderate to severe pain
7.2%
10.0%
14.3%
8.2%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who lose too much weight
4.5%
3.0%
2.8%
2.8%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of high risk long-stay residents with pressure ulcers
1.1%
1.1%
2.1%
1.1%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who have depressive symptoms
13.5%
18.0%
24.5%
16.5%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
0.0%
0.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents experiencing one or more falls with major injury
2.2%
2.5%
5.1%
4.6%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
1.0%
1.0%
1.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

87.5%
89.3%
93.3%
93.6%
88.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.3%
94.6%
94.6%
94.6%
85.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
67.3%
69.0%
73.5%
81.3%
64.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who made improvements in function
34.1%
32.7%
41.2%
51.4%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
4.4%
5.7%
2.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents with pressure ulcers that are new or worsened