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Spirit Of Mercy Skilled Nursing Center

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About Spirit Of Mercy Skilled Nursing Center

General Information

Legal Business NameSpirit Of Mercy Skilled Nursing Center LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 30, 1994 (23 years)
Capacity22
Residents19
Percent Occupied86%
Program ParticipationMedicare
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Spirit Of Mercy Skilled Nursing Center

Spirit Of Mercy Skilled Nursing Center
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

February 18, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
CManyPotential for Minimal HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

August 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

February 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionDispose of garbage and refuse properly.
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

October 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintKeep complete, dated laboratory records in the resident's file.
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.

July 30, 2014 - 3 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Spirit Of Mercy Skilled Nursing 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.

1hr 50min
2hr 35min
ReportedExpected
CNA
1hr 35min
45min
ReportedExpected
LPN
1hr 50min
1hr 40min
ReportedExpected
RN
5hr 15min
4hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
-
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
56.7%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
-
-
-
-
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
-
-
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
-
-
-
-
16.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antipsychotic medication
-
-
-
-
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
-
-
-
-
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
-
-
-
-
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who lose too much weight
-
-
-
-
5.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
-
-
-
-
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who have depressive symptoms
-
-
-
-
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a urinary tract infection
-
-
-
-
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents experiencing one or more falls with major injury
-
-
-
-
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a catheter inserted and left in their bladder
-
-
-
-
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

87.1%
86.5%
97.9%
99.4%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
83.7%
83.7%
83.7%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
23.8%
31.2%
34.0%
31.3%
62.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who made improvements in function
36.2%
42.0%
33.9%
14.0%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
1.9%
2.0%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who newly received an antipsychotic medication
0.5%
0.0%
0.0%
0.6%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents with pressure ulcers that are new or worsened