Abuse.com - BISHOP CHARLES MACLEAN EPISCOP

Abuse.com Nursing Home Profile

Detailed information for BISHOP CHARLES MACLEAN EPISCOP

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

BISHOP CHARLES MACLEAN EPISCOP	As of 04/26/2004
17 11 BROOKHAVEN AVENUE FAR ROCKAWAY, NY 11691 (718) 869-8001	Located in a Hospital Resident Councils Only 163 Certified Beds
Initial Date of Certification: 07/24/1985 Type of Ownership: Non profit - Church related A Multi-Nursing home (chain) Ownership	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

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

Quality Measures

Quality Measures	Percentage for BISHOP CHARLES MACLEAN EPISCOP	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	9%	16%
Percent of Residents Who Have Moderate to Severe Pain	6%	6%
Percent of High-Risk Residents Who Have Pressure Sores	32%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	3%	3%
Percent of Residents Who Were Physically Restrained	1%	8%
Percent of Residents Who are More Depressed or Anxious	9%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	45%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	6%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	2%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	12%	13%
Percent of Residents With a Urinary Tract Infection	3%	8%
Percent of Short-Stay Residents With Delirium	0%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	14%	22%
Percent of Short-Stay Residents With Pressure Sores	17%	21%

Inspection Results

BISHOP CHARLES MACLEAN EPISCOP 17 11 BROOKHAVEN AVENUE FAR ROCKAWAY, NY 11691 (718) 869-8001
Date of this inspection: 04/26/2004 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 13 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Mistreatment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Keep each resident free from physical restraints, unless needed for medical treatment. (11/13/2003)	01/22/2004	2 = Minimal harm or potential for actual harm	Some
2. Protect residents from mistreatment, neglect, and/or theft of personal property. (11/13/2003)	01/22/2004	2 = Minimal harm or potential for actual harm	Few
3. 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. (02/10/2004)	04/08/2004	3 = Actual harm	Few
4. Protect residents from mistreatment, neglect, and/or theft of personal property. (02/10/2004)	04/08/2004	4 = Immediate jeopardy to resident health or safety	Many
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
5. Give professional services that follow each resident's written care plan. (11/13/2003)	01/22/2004	2 = Minimal harm or potential for actual harm	Few
6. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. (02/10/2004)	04/08/2004	4 = Immediate jeopardy to resident health or safety	Many
7. Give professional services that follow each resident's written care plan. (04/26/2004)	06/25/2004	2 = Minimal harm or potential for actual harm	Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
8. Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. (04/26/2004)	06/25/2004	2 = Minimal harm or potential for actual harm	Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
9. Provide services to meet the needs and preferences of each resident. (11/13/2003)	01/22/2004	2 = Minimal harm or potential for actual harm	Some
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
10. Store, cook, and give out food in a safe and clean way. (04/26/2004)	04/28/2004	2 = Minimal harm or potential for actual harm	Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
11. Make sure that the nursing home area is free of dangers that cause accidents. (11/13/2003)	01/22/2004	1 = Potential for minimal harm	Many
12. Keep all essential equipment working safely. (02/10/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Many
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
13. Be administered in a way that leads to the highest possible level of well being for each resident. (02/10/2004)	04/08/2004	4 = Immediate jeopardy to resident health or safety	Many

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	BISHOP CHARLES MACLEAN EPISCOP	State Average in	National Average
Number of Residents	137	42.8	89.2
RN Hours per Resident per Day*	0.42	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.46	0.7	0.8
CNA Hours per Resident per Day*	2.43	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	3.31	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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