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Mt Loretto Nursing Home Inc
302 SWART HILL ROAD
Amsterdam, NY 12010
(518) 842-6790
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 120 |
| Number of Residents: | 84 |
| Percent of Occupied Beds: | 70% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071019 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Pattern | Immediate jeopardy to resident health or safety | 20071127 |
| 20071019 | Health | 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 | Actual harm | 20071127 |
| 20071019 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Immediate jeopardy to resident health or safety | 20071127 |
| 20071019 | Health | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | Pattern | Minimal harm or potential for actual harm | 20071127 |
| 20071227 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm | 20080201 |
| 20080404 | Health | Quality Care Deficiencies | Make sure that each resident gets help to keep vision and hearing. | Isolated | Minimal harm or potential for actual harm | 20080519 |
| 20080404 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20080519 |
| 20080530 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20080630 |
| 20080912 | Health | Resident Rights Deficiencies | Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | Pattern | Minimal harm or potential for actual harm | 20081020 |
| 20080912 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20081020 |
| 20080912 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Widespread | Immediate jeopardy to resident health or safety | 20081020 |
| 20080912 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Pattern | Minimal harm or potential for actual harm | 20081020 |
| 20090120 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Widespread | Immediate jeopardy to resident health or safety | 20090401 |
| 20090120 | Health | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | Widespread | Immediate jeopardy to resident health or safety | 20090401 |
| 20090120 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Widespread | Minimal harm or potential for actual harm | 20090401 |
| 20090120 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Immediate jeopardy to resident health or safety | 20090401 |
| 20090120 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20090401 |
| 20090120 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Widespread | Immediate jeopardy to resident health or safety | 20090401 |
| 20090120 | Health | 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. | Widespread | Immediate jeopardy to resident health or safety | 20090401 |
| 20100706 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Potential for minimal harm | 20100830 |
| 20100706 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20100830 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 98 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 93 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 18 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 8 | |
| Percent of low-risk long-stay residents who have pressure sores: | 6 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 13 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 49 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 3 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 9 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 14 | |
| Percent of long-stay residents who had a urinary tract infection: | 3 | |
| Percent of long-stay residents who lose too much weight: | 6 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 85 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 84 | |
| Percent of short-stay residents who have delirium: | 3 | |
| Percent of short-stay residents who had moderate to severe pain: | 10 | |
| Percent of short-stay residents who have pressure sores: | 10 | |
| # of Residents: | 84 |
| # RN Hours per Resident: | 0.69 |
| # LPN Hours per Resident: | 0.98 |
| # CNA Hours per Resident: | 2 |
| Total Staff Hours per Resident: | 1.67 |
