Trinity Mission Health & Rehab Of Shenandoah Hgts - SHENANDOAH, PA - Nursing Home Abuse and Neglect Report

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General Information

Category: Participating in Medicare and Medicaid
TRINITY MISSION HEALTH & REHAB OF SHENANDOAH HGTS
(570) 462-1921
200 PENNSYLVANIA AVENUE
SHENANDOAH, PA 17976

Last inspected: 02/03/05
Certified Bed Count: 111
Total Residents: 60
Occupancy: 54%
Ownership: For profit - Partnership
Inside Hospital: NO

Resident Nurse: 0.69
LPN/LVN Care: 1.09
C.N.A. Care: 1.98
Total Staff: 0
Total Licensed Staff: 0
(All hours are per Resident per Day)

Resident Survey

Measure	Score	County Ave	State Ave	Updated
Percent of High-Risk Residents Who Have Pressure Sores	18 %			02/03/05
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	57 %			02/03/05
Percent of Residents Who are More Depressed or Anxious	6 %			02/03/05
Percent of Residents Who Have Moderate to Severe Pain	3 %			02/03/05
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6 %			02/03/05
Percent of Residents Who Lose Too Much Weight	11 %			02/03/05
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	2 %			02/03/05
Percent of Residents Who Were Physically Restrained	11 %			02/03/05
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	6 %			02/03/05
Percent of Residents Whose Need for Help With Daily Activities Has Increased	13 %			02/03/05
Percent of Residents With a Urinary Tract Infection	9 %			02/03/05
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	9 %			02/03/05
Percent of Short-Stay Residents With Delirium	31 %			02/03/05
Percent of Short-Stay Residents With Pressure Sores	30 %			02/03/05

Trinity Mission Health & Rehab Of Shenandoah Hgts - Nursing Home Treatment Deficiencies

Severity	Scope	Level of Nursing Home Neglect	Updated
Category	Deficiency
	Isolated	Actual harm	03/03/05
Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.



	Isolated	Actual harm	08/13/03
Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.



	Isolated	Actual harm	05/28/04
Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.



	Widespread	Minimal harm or potential for actual harm	09/11/03
Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.



	Pattern	Minimal harm or potential for actual harm	08/13/03
Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.



	Pattern	Minimal harm or potential for actual harm	05/28/04
Administration Deficiencies	Have a detailed, written plan for disasters and emergencies.



	Pattern	Minimal harm or potential for actual harm	03/03/05
Administration Deficiencies	Keep accurate and appropriate medical records.



	Pattern	Minimal harm or potential for actual harm	08/13/03
Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.



	Pattern	Minimal harm or potential for actual harm	03/03/05
Mistreatment Deficiencies	1) Hire only people who have 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.



	Pattern	Minimal harm or potential for actual harm	03/03/05
Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.



	Pattern	Minimal harm or potential for actual harm	09/21/05
Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.



	Pattern	Minimal harm or potential for actual harm	03/20/03
Quality Care Deficiencies	Give professional services that meet a professional standard of quality.



	Pattern	Minimal harm or potential for actual harm	08/13/03
Quality Care Deficiencies	Provide activities to meet the needs of each resident.



	Pattern	Minimal harm or potential for actual harm	10/26/05
Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.



	Pattern	Minimal harm or potential for actual harm	03/20/03
Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.



	Pattern	Minimal harm or potential for actual harm	08/13/03
Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.



	Isolated	Minimal harm or potential for actual harm	08/13/03
Administration Deficiencies	Hold committee meetings every 3 months to review and ensure quality in the nursing home.



	Isolated	Minimal harm or potential for actual harm	03/20/03
Administration Deficiencies	Keep accurate and appropriate medical records.



	Isolated	Minimal harm or potential for actual harm	05/28/04
Administration Deficiencies	Train all employees on what to do in an emergency.



	Isolated	Minimal harm or potential for actual harm	08/13/03
Environmental Deficiencies	Keep safe, clean and homelike surroundings.



	Isolated	Minimal harm or potential for actual harm	05/28/04
Mistreatment Deficiencies	1) Hire only people who have 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.



	Isolated	Minimal harm or potential for actual harm	06/22/04
Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.



	Isolated	Minimal harm or potential for actual harm	10/26/05
Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.



	Isolated	Minimal harm or potential for actual harm	05/28/04
Quality Care Deficiencies	Provide activities to meet the needs of each resident.



	Isolated	Minimal harm or potential for actual harm	08/13/03
Resident Rights Deficiencies	Help and prepare each resident for a safe and easy discharge and transfer from the nursing home.



	Isolated	Minimal harm or potential for actual harm	09/22/04
Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.



	Isolated	Minimal harm or potential for actual harm	09/21/05
Resident Rights Deficiencies	Let the resident refuse treatment or refuse to take part in an experiment.



	Isolated	Minimal harm or potential for actual harm	08/13/03
Resident Rights Deficiencies	Protect the resident from a transfer or discharge that is not wanted or needed.



	Isolated	Minimal harm or potential for actual harm	08/13/03
Resident Rights Deficiencies	Provide enough notice before discharging or transferring a resident.



	Isolated	Minimal harm or potential for actual harm	08/13/03
Resident Rights Deficiencies	Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.

Trinity Mission Health & Rehab Of Shenandoah Hgts - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.

Medicare Suppliers in SHENANDOAH

Out of 5

STANELY R MAKARCZYK

Optometry/Optician

(570)462-4327

107 N MAIN ST
SHENANDOAH, PA 17976

RITE AID CORPORATION

Pharmacy/Drug Store

(570)462-1924

15 S MAIN ST
SHENANDOAH, PA 17976

REDNERS MARKETS INC

Pharmacy/Drug Store

(570)462-9651

1 GOLD STAR PLZ
SHENANDOAH, PA 17976

SECURE HEALTH L P

Prosthetics

(570)462-1908

101 E WASHINGTON ST
SHENANDOAH, PA 17976

TRINITY MISSION OF SHENANDOAH HEIGHTS

Orthotics

(570)462-1921

200 PENNSYLVANIA AVE
SHENANDOAH, PA 17976

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