Chester Valley Rehab And Nursing Center
283 EAST LANCASTER AVENUE
Malvern, PA 19355
(610) 296-4170
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: | 184 |
Number of Residents: | 175 |
Percent of Occupied Beds: | 95% |
Sprinkler Status: | Partially Sprinklered |
Program Participation: | Medicare and Medicaid |
Type of Ownership: | For profit - Corporation |
Located Within a Hospital? | No |
Multi Nursing Home Ownership? | No |
Resident and Family Councils? | Resident |
Continuing Care Retirement Community? | No |
Quality Indicator Survey? | No |
Special Focus Facility? | Yes |
Overall: | |
Health Inspection: | |
Nurse Staffing: | |
Quality Measures: | |
RN Only: |
Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
20071129 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20080123 |
20071203 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20080123 |
20080226 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20080408 |
20080226 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20080408 |
20080325 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080425 |
20080714 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20080925 |
20080714 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20080925 |
20080718 | 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 | 20080925 |
20080905 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080925 |
20080905 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Minimal harm or potential for actual harm | 20080925 |
20080905 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Widespread | Immediate jeopardy to resident health or safety | 20080925 |
20081030 | 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 | 20081217 |
20081030 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Minimal harm or potential for actual harm | 20081217 |
20090213 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20090317 |
20090213 | 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 | 20090317 |
20090925 | 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 | 20091109 |
20090925 | 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 | 20091109 |
20090925 | Health | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Isolated | Minimal harm or potential for actual harm | 20091109 |
20100104 | 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 | 20100201 |
20100302 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20100406 |
20100302 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20100406 |
20100302 | 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 | 20100406 |
20100312 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100409 |
20100630 | 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 | 20100726 |
20100630 | Health | 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 | 20100726 |
Value | Notes | |
Percent of long-stay residents given influenza vaccination during the flu season: | 77 | |
Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 66 | |
Percent of long-stay residents whose need for help with daily activities has increased: | 31 | |
Percent of long-stay residents who have moderate to severe pain: | 1 | |
Percent of high-risk long-stay residents who have pressure sores: | 12 | |
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: | 18 | |
Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 56 | |
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
Percent of long-stay residents who spend most of their time in bed or in a chair: | 4 | |
Percent of long-stay residents whose ability to move about in and around their room got worse: | 20 | |
Percent of long-stay residents who had a urinary tract infection: | 5 | |
Percent of long-stay residents who lose too much weight: | 9 | |
Percent of short-stay residents given influenza vaccination during the flu season: | 65 | |
Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 50 | |
Percent of short-stay residents who have delirium: | 0 | |
Percent of short-stay residents who had moderate to severe pain: | 7 | |
Percent of short-stay residents who have pressure sores: | 11 | |
# of Residents: | 175 |
# RN Hours per Resident: | 0.27 |
# LPN Hours per Resident: | 0.83 |
# CNA Hours per Resident: | 1.83 |
Total Staff Hours per Resident: | 1.1 |