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Pembrooke Health And Rehabilitation Center

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About Pembrooke Health And Rehabilitation Center

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 1, 1976 (41 years)
Capacity180
Residents149
Percent Occupied83%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Pembrooke Health And Rehabilitation Center

Pembrooke Health And Rehabilitation 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

November 4, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential 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.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential 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.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
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 each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.

December 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

November 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

October 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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+InspectionMake sure that the facility is administered in an acceptable way that maintains the 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 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.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.

July 6, 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.

March 10, 2015 - 2 years ago

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

February 12, 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 HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

December 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

November 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$13,390 fine
KSomeImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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 .
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
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 InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
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 InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pembrooke Health And Rehabilitation 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 30min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
25min
1hr 5min
ReportedExpected
RN
2hr 50min
4hr 20min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

70.1%
85.6%
85.6%
85.6%
95.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
83.8%
90.4%
90.9%
94.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
41.9%
49.1%
51.0%
48.1%
56.7%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
18.2%
15.5%
17.6%
16.1%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
22.1%
21.0%
24.4%
22.0%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose ability to move independently worsened
22.0%
22.5%
23.3%
20.5%
16.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who received an antipsychotic medication
19.2%
13.3%
21.9%
19.3%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents whose need for help with daily activities has increased
4.4%
4.0%
3.0%
10.0%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who self-report moderate to severe pain
4.1%
7.5%
8.4%
5.5%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who lose too much weight
4.0%
3.7%
2.2%
4.3%
5.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of high risk long-stay residents with pressure ulcers
2.9%
5.0%
4.6%
6.3%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents who have depressive symptoms
3.4%
4.8%
3.8%
3.1%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents with a urinary tract infection
2.7%
5.4%
6.6%
5.3%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
2.4%
2.7%
1.3%
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

82.8%
72.2%
70.5%
44.1%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.9%
47.2%
47.2%
47.2%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
57.9%
-
-
-
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
27.3%
18.2%
18.5%
20.0%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
4.2%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents who newly received an antipsychotic medication
2.6%
4.6%
8.0%
1.7%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016PA
Percentage of short-stay residents with pressure ulcers that are new or worsened