EDGEHILL NURSING AND REHAB CEN

Nursing Home Inspector

146 EDGEHILL ROAD
GLENSIDE, PA 19038
Montgomery County
Phone: 215-886-1043
Provider Number: 395757
Last Inspection: 03/24/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 56
Beds Available: 4
Percent Occupancy: 93%
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

 

12

Facility
18

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2017
45

2016
3

2015

Medicare Ratings

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

 

Details by Inspection Date

3/24/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/26/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/26/2017
 
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 4/26/2017
 

2/11/2016 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 3/30/2016
 
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. Isolated : Minimal 3 3/30/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/30/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/30/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 3/30/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/30/2016
 
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 3/30/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 3/30/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 3/30/2016
 
Failed To: Have enough backup water supply for essential areas of the nursing home. Widespread : Minimal 5 3/30/2016
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Isolated : Minimal 3 3/30/2016
 

3/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 3/20/2015
 

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 56 107.56 110.03
Registered Nurses 0.78 1.11 0.94
Licensed Practical / Vocational Nurses 0.47 0.66 0.85
Certified Nursing Assistants 3.27 2.31 2.26
Total Staff Hours 4.51 4.08 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 0 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 93 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 94 95
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 11 3 2
of long-stay residents who lose too much weight 4 8 7
of long-stay residents who received an antianxiety or hypnotic medication 38 23 22
of long-stay residents who received an antipsychotic medication 25 13 15
of long-stay residents who self-report moderate to severe pain 6 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 11 19 20
of long-stay residents whose need for help with daily activities has increased 11 16 15
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 1 2 3
of low risk long-stay residents who lose control of their bowels or bladder 62 56 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 76 83
of short-stay residents who newly received an antipsychotic medication 0 9 10
of short-stay residents who self-report moderate to severe pain 6 65 64
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 1 1
of short-stay residents with pressure ulcers that are new or worsened 0 13 15