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Lutheran Center At Poughkeepsie Inc

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 160
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: 09/12/2011

Date of last standard health inspection: 09/12/2011
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, 01/06/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/06/2009 03/01/2010 1 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/06/2009 03/01/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/06/2009 03/01/2010 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/06/2009 03/01/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 01/06/2009 03/01/2010 1 Many
Reasonably accommodate the needs and preferences of each resident. 01/06/2009 03/01/2010 2 Few

Inspection, 01/02/2009

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. 01/02/2009 01/02/2011 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. 01/02/2009 01/02/2011 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/02/2009 01/02/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/02/2009 01/02/2011 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2009 01/02/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/02/2009 01/02/2011 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2009 01/02/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/02/2009 01/02/2011 2 Few

Inspection, 00/07/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. 00/07/2008 00/01/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/07/2008 00/01/2010 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/07/2008 00/01/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/07/2008 00/01/2010 2 Some
Reasonably accommodate the needs and preferences of each resident. 00/07/2008 00/01/2010 2 Some

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 86 167 160
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 51 minutes 1 hour 30 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 16 hours 4 minutes 27 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 15 minutes 1 hour 2 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 45 minutes 2 hours 18 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: 09/12/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/12/2011
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, 00/07/2008

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/07/2008 00/01/2010 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 00/07/2008 00/01/2010 2 Some
 

965 Dutchess Turnpike
Poughkeepsie, NY 12603

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