ABINGTON CREST HEALTH AND REHABILITATION CENTER

Nursing Home Inspector

1267 SOUTH HILL ROAD
ERIE, PA 16509
Erie County
Phone: 814-864-4081
Provider Number: 395174
Last Inspection: 02/16/2017

About the Nursing Home

Number of Beds: 80
Number of Residents: 66
Beds Available: 14
Percent Occupancy: 83%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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
22

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
91

2016
29

2015

Medicare Ratings

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

 

Details by Inspection Date

2/16/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Pattern : Minimal 4 4/3/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 4/3/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/3/2017
 
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 4/3/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/3/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/3/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Potential 4 4/3/2017
 

1/13/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 3/16/2016
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 3/16/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 3/16/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/16/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 3/16/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/16/2016
 
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 3/16/2016
 
Failed To: 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. Pattern : Minimal 4 3/16/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 3/16/2016
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 3/16/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/16/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 3/16/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 3/16/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/16/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 3/16/2016
 
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 3/16/2016
 
Failed To: 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. Pattern : Minimal 4 3/16/2016
 
Failed To: Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. Widespread : Minimal 5 3/16/2016
 
Failed To: 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. Widespread : Immediate 7 3/16/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread : Minimal 5 3/16/2016
 
Failed To: Offer other nutritional food to each resident who will not eat the food served. Pattern : Minimal 4 3/16/2016
 
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Isolated : Minimal 3 3/16/2016
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 3/16/2016
 

2/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Isolated : Minimal 3 3/24/2015
 
Failed To: 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. Isolated : Minimal 3 3/24/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/24/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 3/24/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/24/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/24/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/24/2015
 
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 3/24/2015
 

Complaint Investigation Deficiencies

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

1/9/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 1/19/2017
 

8/12/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 9/16/2016
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 9/16/2016
 

4/13/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 5/6/2016
 
Failed To: 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. Pattern : Minimal 4 5/6/2016
 
Failed To: Offer other nutritional food to each resident who will not eat the food served. Isolated : Minimal 3 5/6/2016
 

3/10/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 3/15/2016
 

7/13/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for each resident in a way that maintains or improves their quality of life. Pattern : Minimal 4 unknown
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 unknown
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 unknown
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 unknown
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 66 105.32 110.03
Registered Nurses 0.63 0.80 0.94
Licensed Practical / Vocational Nurses 0.68 0.89 0.85
Certified Nursing Assistants 1.80 2.16 2.26
Total Staff Hours 3.12 3.85 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 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 58 94 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 97 95
of long-stay residents experiencing one or more falls with major injury 6 4 3
of long-stay residents who have depressive symptoms 0 4 2
of long-stay residents who lose too much weight 4 7 7
of long-stay residents who received an antianxiety or hypnotic medication 35 20 22
of long-stay residents who received an antipsychotic medication 31 16 15
of long-stay residents who self-report moderate to severe pain 13 10 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 18 20
of long-stay residents whose need for help with daily activities has increased 18 14 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 0 4 3
of low risk long-stay residents who lose control of their bowels or bladder 31 56 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 65 84 83
of short-stay residents who had an outpatient emergency department visit 16 9 10
of short-stay residents who made improvements in function 47 60 64
of short-stay residents who newly received an antipsychotic medication 4 2 1
of short-stay residents who self-report moderate to severe pain 28 23 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 73 82 82
of short-stay residents who were rehospitalized after a nursing home admission 16 20 20
of short-stay residents with pressure ulcers that are new or worsened 0 53 52