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Mountain City Nursing And Rehabilitation Center
403 HAZLE TOWNSHIP BOULEVARD
Hazleton, PA 18202
(570) 454-8888
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 297 |
| Number of Residents: | 244 |
| Percent of Occupied Beds: | 82% |
| Sprinkler Status: | Partially Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| 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 |
| 20071115 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Actual harm | 20080115 |
| 20071221 | Health | Resident Rights Deficiencies | Let each resident choose whether to manage his or her own money or deposit it with the nursing home. | Pattern | Minimal harm or potential for actual harm | 20080115 |
| 20080421 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20080620 |
| 20080421 | Health | Environmental Deficiencies | Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | Pattern | Minimal harm or potential for actual harm | 20080620 |
| 20081023 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20081223 |
| 20081023 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20081223 |
| 20090415 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20090602 |
| 20090415 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Pattern | Minimal harm or potential for actual harm | 20090602 |
| 20090415 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20090602 |
| 20090415 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm | 20090602 |
| 20090922 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20090922 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20090922 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20091021 | Health | 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 | 20091109 |
| 20091021 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20091021 | Health | Resident Rights Deficiencies | Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20091229 | 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. | Pattern | Minimal harm or potential for actual harm | 20100323 |
| 20091229 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20100323 |
| 20100209 | Health | Resident Assessment Deficiencies | Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. | Isolated | Minimal harm or potential for actual harm | 20100323 |
| 20100209 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20100323 |
| 20100224 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Isolated | Minimal harm or potential for actual harm | 20100429 |
| 20100224 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20100323 |
| 20100224 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100429 |
| 20100323 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100429 |
| 20100323 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20100429 |
| 20100414 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20100429 |
| 20100511 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Potential for minimal harm | 20100521 |
| 20100528 | 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. | Isolated | Minimal harm or potential for actual harm | 20100820 |
| 20100609 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20100701 |
| 20100720 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100820 |
| 20100720 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100820 |
| 20100820 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Isolated | Minimal harm or potential for actual harm | 20100902 |
| 20100820 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100902 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 94 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 96 | |
| 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: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 16 | |
| Percent of low-risk long-stay residents who have pressure sores: | 2 | |
| Percent of long-stay residents who were physically restrained: | 3 | |
| Percent of long-stay residents who are more depressed or anxious: | 24 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 54 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 7 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 17 | |
| Percent of long-stay residents who had a urinary tract infection: | 2 | |
| Percent of long-stay residents who lose too much weight: | 9 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 84 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 11 | |
| Percent of short-stay residents who have pressure sores: | 16 | |
| # of Residents: | 244 |
| # RN Hours per Resident: | 0.35 |
| # LPN Hours per Resident: | 0.91 |
| # CNA Hours per Resident: | 2.03 |
| Total Staff Hours per Resident: | 1.26 |
