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Monroe Community Hospital

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About Monroe Community Hospital

General Information

Legal Business NameCounty Of Monroe
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity566
Residents540
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Monroe Community Hospital

Monroe Community Hospital
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 New York 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

February 11, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

December 16, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
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 InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

July 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

April 29, 2015 - 2 years 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.

January 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

July 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

May 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Monroe Community Hospital 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 25min
2hr 30min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
40min
1hr
ReportedExpected
RN
4hr 10min
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

99.6%
100.0%
100.0%
100.0%
96.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
99.8%
99.4%
99.6%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.8%
58.9%
57.2%
58.0%
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
21.7%
18.8%
19.0%
16.2%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
27.5%
25.6%
28.3%
21.2%
16.6%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents whose ability to move independently worsened
16.5%
12.3%
11.0%
11.3%
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who received an antipsychotic medication
16.7%
20.6%
22.7%
22.5%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents whose need for help with daily activities has increased
18.4%
19.4%
15.8%
11.4%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who self-report moderate to severe pain
7.2%
6.7%
5.6%
5.1%
6.3%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who lose too much weight
7.1%
6.0%
7.6%
6.6%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of high risk long-stay residents with pressure ulcers
8.8%
6.1%
6.9%
6.1%
9.4%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who have depressive symptoms
2.6%
2.3%
1.8%
2.7%
3.8%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents with a urinary tract infection
2.0%
1.9%
2.0%
2.4%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents experiencing one or more falls with major injury
6.1%
4.8%
4.1%
3.1%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.8%
0.6%
0.2%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

98.5%
96.1%
97.9%
97.8%
81.3%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.2%
96.0%
96.0%
96.0%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
75.6%
69.5%
64.5%
65.6%
66.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who made improvements in function
30.4%
27.4%
30.5%
32.2%
11.5%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who self-report moderate to severe pain
1.6%
1.9%
0.8%
2.7%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.4%
0.4%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NY
Percentage of short-stay residents with pressure ulcers that are new or worsened