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Lackawanna Health And Rehab Center

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About Lackawanna Health And Rehab Center

General Information

Legal Business NameLackawanna Acquisition I, LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 27, 1978 (39 years)
Capacity272
Residents190
Percent Occupied70%
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 Lackawanna Health And Rehab Center

Lackawanna Health And Rehab Center
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

September 29, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential 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.
ESomePotential 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.
ESomePotential 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.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being 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.
BSomePotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

August 16, 2016 - 10 months 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.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

March 28, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.
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.

November 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
BSomePotential for Minimal HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
BSomePotential for Minimal HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential 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 Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
ESomePotential for HarmComplaint+InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential 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.
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 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.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
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 necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
BSomePotential for Minimal HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.

July 2, 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.

April 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

September 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
ESomePotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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.
BSomePotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lackawanna Health And Rehab 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 15min
2hr 30min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
25min
1hr 30min
ReportedExpected
RN
3hr 35min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.6%
91.6%
91.6%
91.6%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
95.6%
96.0%
99.4%
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
37.7%
39.6%
31.5%
35.8%
56.7%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
26.2%
25.3%
24.1%
23.9%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
20.6%
23.5%
21.2%
26.6%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose ability to move independently worsened
22.8%
24.9%
23.5%
22.7%
16.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antipsychotic medication
17.9%
22.3%
21.5%
18.8%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose need for help with daily activities has increased
3.9%
2.7%
2.7%
2.6%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who self-report moderate to severe pain
6.4%
4.6%
5.4%
4.1%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who lose too much weight
2.5%
4.0%
2.5%
1.7%
5.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who have depressive symptoms
2.8%
3.4%
6.9%
3.4%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a urinary tract infection
3.4%
3.3%
3.4%
5.6%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents experiencing one or more falls with major injury
2.9%
5.0%
3.4%
2.7%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.6%
1.7%
1.1%
1.1%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

59.0%
70.8%
85.0%
92.1%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
68.5%
68.5%
68.5%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
59.5%
54.9%
60.5%
49.4%
62.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who made improvements in function
21.2%
11.8%
10.6%
14.5%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who self-report moderate to severe pain
2.1%
2.0%
0.0%
0.0%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who newly received an antipsychotic medication
1.3%
2.3%
2.6%
1.5%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents with pressure ulcers that are new or worsened