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Loretto Health And Rehabilitation Center

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 583
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 06/30/2011

Date of last standard health inspection: 06/30/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in NY: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in NY: 0 - 10

Inspection, 00/03/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/03/2010 01/04/2012 4 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 00/03/2010 01/04/2012 Some and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2010 01/04/2012 4 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/03/2010 01/04/2012 4 Some

Inspection, 02/05/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 02/05/2009 01/04/2012 1 Many
Provide housekeeping and maintenance services. 02/05/2009 01/04/2012 2 Some
Provide a safe 02/05/2009 01/04/2012 comfortable and home-like environment; and allow r clean
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) 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. 02/05/2009 01/04/2012 2 Few
Develop 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. 02/05/2009 01/04/2012 2 Few
1) Hire only people with no legal history of abusing 02/05/2009 01/04/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide special eating equipment and utensils for each resident who needs them. 02/05/2009 01/04/2012 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 02/05/2009 01/04/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/05/2009 01/04/2012 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/05/2009 01/04/2012 2 Few
Assist those residents who need help with eating/drinking 02/05/2009 01/04/2012 Some grooming and personal and oral hygiene.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 02/05/2009 01/04/2012 2 Few
Try to resolve each resident's complaints quickly. 02/05/2009 01/04/2012 2 Some

Inspection, 03/00/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 03/00/2006 02/09/2008 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 03/00/2006 02/09/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 03/00/2006 02/09/2008 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) 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. 03/00/2006 02/09/2008 2 Few
1) Hire only people with no legal history of abusing 03/00/2006 02/09/2008 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 03/00/2006 02/09/2008 2 Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 03/00/2006 02/09/2008 2 Few
Provide special eating equipment and utensils for each resident who needs them. 03/00/2006 02/09/2008 2 Few
Store, cook, and serve food in a safe and clean way. 03/00/2006 02/09/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 03/00/2006 02/09/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2006 02/09/2008 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 03/00/2006 02/09/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 03/00/2006 02/09/2008 2 Some

Inspection, 01/03/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2005 00/07/2007 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2005 00/07/2007 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) 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. 01/03/2005 00/07/2007 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/03/2005 00/07/2007 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/03/2005 00/07/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2005 00/07/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2005 00/07/2007 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 01/03/2005 00/07/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2005 00/07/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2005 00/07/2007 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in NY Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 167 572
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 51 minutes 1 hour 20 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 16 hours 4 minutes 25 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 15 minutes 55 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 45 minutes 2 hours 55 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 06/30/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 06/30/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in NY: 1
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in NY: 0 - 1

Inspection, 02/05/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/05/2009 01/04/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/05/2009 01/04/2012 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/05/2009 01/04/2012 2 Some

Inspection, 03/00/2006

Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 03/00/2006 02/09/2008 2 Few
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 03/00/2006 02/09/2008 2 Few

Inspection, 01/03/2005

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/03/2005 00/07/2007 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 01/03/2005 00/07/2007 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/03/2005 00/07/2007 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/03/2005 00/07/2007 2 Few
 

700 East Brighton Avenue
Syracuse, NY 13205

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