SAXONY HEALTH CENTER

Nursing Home Inspector

BOX 458, 223 PITTSBURGH ST
SAXONBURG, PA 16056
Butler County
Phone: 724-352-9445
Provider Number: 395160
Last Inspection: 06/02/2017

About the Nursing Home

Number of Beds: 68
Number of Residents: 57
Beds Available: 11
Percent Occupancy: 84%
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

 

23

Facility
16

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
21

2016
38

2015

Medicare Ratings

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

 

Details by Inspection Date

6/2/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/21/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 7/21/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 7/21/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/21/2017
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern : Minimal 4 7/21/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 7/21/2017
 

6/17/2016 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. Widespread : Potential 4 8/10/2016
 
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 8/10/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 8/10/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/10/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/10/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/10/2016
 

7/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Widespread : Potential 4 9/9/2015
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 9/9/2015
 
Failed To: Ensure the activities program is directed by a qualified professional. Isolated : Minimal 3 9/9/2015
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 9/9/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 9/9/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/9/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/9/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 9/9/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/9/2015
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 9/9/2015
 

Complaint Investigation Deficiencies

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

10/14/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 11/14/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/14/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 57 94.46 110.03
Registered Nurses 0.93 1.12 0.94
Licensed Practical / Vocational Nurses 0.94 0.67 0.85
Certified Nursing Assistants 1.87 2.26 2.26
Total Staff Hours 3.74 4.05 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 9 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 94 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 94 95
of long-stay residents experiencing one or more falls with major injury 4 2 3
of long-stay residents who have depressive symptoms 0 3 2
of long-stay residents who lose too much weight 6 7 7
of long-stay residents who received an antianxiety or hypnotic medication 18 22 22
of long-stay residents who received an antipsychotic medication 22 14 15
of long-stay residents who self-report moderate to severe pain 10 4 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 24 17 20
of long-stay residents whose need for help with daily activities has increased 13 12 15
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 7 5 3
of low risk long-stay residents who lose control of their bowels or bladder 83 59 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 84 86 83
of short-stay residents who had an outpatient emergency department visit 14 11 10
of short-stay residents who made improvements in function 58 61 64
of short-stay residents who newly received an antipsychotic medication 2 1 1
of short-stay residents who self-report moderate to severe pain 31 15 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 87 82
of short-stay residents who were rehospitalized after a nursing home admission 14 17 20
of short-stay residents with pressure ulcers that are new or worsened 1 60 52