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Majestic Oaks Rehabilitation And Nursing Center

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About Majestic Oaks Rehabilitation And Nursing Center

General Information

Legal Business NameMajestic Oaks Nursing & Rehabilitation LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 28, 1979 (38 years)
Capacity180
Residents165
Percent Occupied92%
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 Majestic Oaks Rehabilitation And Nursing Center

Majestic Oaks Rehabilitation And Nursing 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

August 19, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential 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 or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.

June 26, 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 a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Majestic Oaks Rehabilitation And 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.

2hr 15min
2hr 30min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
35min
1hr 15min
ReportedExpected
RN
3hr 35min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.9%
96.4%
96.4%
96.4%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
98.8%
99.4%
98.1%
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
58.1%
64.8%
76.1%
69.0%
56.7%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
27.7%
27.5%
23.8%
22.8%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
18.2%
20.0%
20.8%
23.7%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose ability to move independently worsened
23.2%
22.2%
19.9%
18.3%
16.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antipsychotic medication
34.3%
18.7%
22.6%
28.2%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose need for help with daily activities has increased
14.9%
7.9%
9.6%
10.2%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who self-report moderate to severe pain
12.2%
10.2%
16.0%
21.3%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who lose too much weight
6.6%
5.3%
5.4%
6.3%
5.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of high risk long-stay residents with pressure ulcers
5.4%
6.1%
0.0%
2.0%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who have depressive symptoms
0.6%
1.2%
0.6%
0.6%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a urinary tract infection
2.5%
3.7%
2.5%
3.1%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents experiencing one or more falls with major injury
1.1%
1.8%
1.0%
1.9%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.3%
0.6%
1.9%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

66.2%
87.1%
81.9%
70.3%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.3%
82.9%
82.9%
82.9%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
29.7%
38.8%
32.1%
62.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
13.3%
22.2%
16.7%
16.7%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who self-report moderate to severe pain
3.0%
4.4%
2.2%
7.7%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who newly received an antipsychotic medication
1.3%
2.3%
2.3%
0.8%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents with pressure ulcers that are new or worsened