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Falling Spring Nursing And Reh

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About Falling Spring Nursing And Reh

General Information

Legal Business NameFalling Spring Nursing And Rehabilitation Center, L. P.
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1984 (34 years)
Capacity186
Residents170
Percent Occupied91%
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 Falling Spring Nursing And Reh

Falling Spring Nursing And Reh
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 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 15, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure 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 HarmComplaintTell the resident or the residentís representative in writing how long the nursing home will hold the residentís bed in cases of transfer to a hospital or therapeutic leave.

July 15, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintMaintain comfortable and safe temperature levels.

May 28, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaintDevelop 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.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

April 12, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide clean bed and bath linens that are in good condition.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

March 10, 2016 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionCompletely assess the resident at least every twelve months.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
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.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
BSomePotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

February 13, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmComplaintMaintain comfortable and safe temperature levels.
DFewPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

November 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

November 9, 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.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

September 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

August 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

April 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHave enough backup water supply for essential areas of the nursing home.
ESomePotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential 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.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
BSomePotential for Minimal HarmHealth InspectionKeep residents' personal and medical records private and confidential.

November 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

November 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being 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 Falling Spring Nursing And Reh 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 40min
2hr 40min
ReportedExpected
CNA
1hr 10min
45min
ReportedExpected
LPN
45min
1hr 20min
ReportedExpected
RN
4hr 35min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.2%
98.2%
98.2%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
91.6%
98.7%
99.4%
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
56.5%
60.0%
58.9%
66.0%
56.7%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
18.2%
15.2%
12.5%
13.3%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
21.5%
20.3%
12.0%
23.5%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose ability to move independently worsened
15.7%
17.9%
15.0%
17.6%
16.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antipsychotic medication
13.6%
13.5%
17.7%
16.8%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose need for help with daily activities has increased
3.6%
1.9%
4.1%
4.2%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who self-report moderate to severe pain
5.8%
7.1%
6.0%
5.8%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who lose too much weight
2.2%
1.5%
0.8%
1.5%
5.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
2.0%
0.0%
0.0%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who have depressive symptoms
1.9%
3.2%
2.7%
1.3%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a urinary tract infection
2.5%
0.6%
1.3%
1.3%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents experiencing one or more falls with major injury
4.7%
1.3%
0.7%
1.2%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

66.1%
82.5%
94.2%
90.8%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.1%
82.5%
82.5%
82.5%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
52.2%
57.4%
56.2%
54.3%
62.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who made improvements in function
8.6%
7.0%
9.1%
11.8%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who self-report moderate to severe pain
2.4%
5.9%
6.0%
2.7%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who newly received an antipsychotic medication
0.6%
0.8%
1.2%
0.0%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents with pressure ulcers that are new or worsened