GARVEY MANOR

Nursing Home Inspector

1037 SOUTH LOGAN BOULEVARD
HOLLIDAYSBURG, PA 16648
Blair County
Phone: 814-695-5571
Provider Number: 395050
Last Inspection: 10/28/2016

About the Nursing Home

Number of Beds: 132
Number of Residents: 130
Beds Available: 2
Percent Occupancy: 98%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

41

Facility
30

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

41

2016
17

2015
15

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

10/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 12/5/2016
 
Failed To: 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. Isolated : Minimal 3 12/5/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 12/5/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 12/5/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 12/5/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/5/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/5/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/5/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/5/2016
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Minimal 3 12/5/2016
 
Failed To: 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. Pattern : Minimal 4 12/5/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/5/2016
 

11/13/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Potential 3 12/15/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/15/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/15/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 12/15/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/15/2015
 

10/24/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 11/30/2014
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/30/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/30/2014
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern : Minimal 4 11/30/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 130 128.00 110.03
Registered Nurses 0.80 0.75 0.94
Licensed Practical / Vocational Nurses 1.24 1.00 0.85
Certified Nursing Assistants 2.71 2.38 2.26
Total Staff Hours 4.75 4.13 4.05

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PA State Avg%
of high risk long-stay residents with pressure ulcers 5 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 97 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 97 95
of long-stay residents experiencing one or more falls with major injury 5 3 3
of long-stay residents who have depressive symptoms 24 3 2
of long-stay residents who lose too much weight 10 8 7
of long-stay residents who received an antianxiety or hypnotic medication 34 25 22
of long-stay residents who received an antipsychotic medication 17 15 15
of long-stay residents who self-report moderate to severe pain 22 9 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 9 18 20
of long-stay residents whose need for help with daily activities has increased 14 13 15
of long-stay residents with a catheter inserted and left in their bladder 4 1 1
of long-stay residents with a urinary tract infection 6 3 3
of low risk long-stay residents who lose control of their bowels or bladder 50 55 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 86 83
of short-stay residents who had an outpatient emergency department visit 9 10 10
of short-stay residents who newly received an antipsychotic medication 0 65 64
of short-stay residents who self-report moderate to severe pain 40 2 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92 17 15
of short-stay residents who were rehospitalized after a nursing home admission 11 82 82
of short-stay residents with pressure ulcers that are new or worsened 1 20 20