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Suburban Woods Health And Reha

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About Suburban Woods Health And Reha

General Information

Legal Business NameOak Hrc Suburban Woods LLC
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 16, 1993 (24 years)
Capacity120
Residents102
Percent Occupied85%
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 Suburban Woods Health And Reha

Suburban Woods Health And Reha
was reviewed by Medicare to have a rating of 1 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

November 14, 2016 - 4 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
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 InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionEnsure the activities program is directed by a qualified professional.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential 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.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmHealth InspectionProvide care for each resident in a way that maintains or improves their quality of life.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide residents with private access to a telephone.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

July 19, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
GFewActual HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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 .
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

May 24, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
GFewActual HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintOperate and provide services according to Federal, State, and local laws and professional standards.
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
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.

March 22, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintHire sufficient dietary support personnel.
FManyPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaintMake sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

February 24, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.

November 6, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHire sufficient dietary support personnel.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

December 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 InspectionPut firmly secured handrails on each side of hallways.
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Suburban Woods Health And Reha 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 55min
2hr 20min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
25min
1hr 10min
ReportedExpected
RN
3hr 10min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

90.3%
91.7%
91.7%
91.7%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.1%
86.7%
82.2%
74.0%
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
44.9%
40.7%
39.3%
21.6%
56.7%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
23.4%
18.8%
20.6%
21.4%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
19.1%
19.7%
29.7%
29.1%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose ability to move independently worsened
22.7%
18.5%
20.2%
23.7%
16.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antipsychotic medication
16.5%
22.1%
26.3%
29.0%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose need for help with daily activities has increased
2.2%
7.2%
5.4%
10.8%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who self-report moderate to severe pain
5.4%
5.2%
3.0%
5.8%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who lose too much weight
7.7%
7.7%
8.8%
4.2%
5.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of high risk long-stay residents with pressure ulcers
3.3%
3.1%
3.1%
2.1%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who have depressive symptoms
1.1%
2.1%
5.0%
1.0%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a urinary tract infection
2.2%
2.0%
3.0%
4.8%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents experiencing one or more falls with major injury
2.3%
1.0%
0.8%
0.8%
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

51.0%
41.8%
30.8%
25.7%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.7%
46.7%
46.7%
46.7%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
79.2%
80.4%
68.1%
68.6%
62.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who made improvements in function
15.4%
17.8%
8.1%
5.8%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
1.9%
1.9%
2.0%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who newly received an antipsychotic medication
0.8%
0.8%
1.0%
1.1%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents with pressure ulcers that are new or worsened