SUGAR CREEK STATION SKILLED NURSING AND REHABILITA

Nursing Home Inspector

351 CAUSEWAY DRIVE
FRANKLIN, PA 16323
Venango County
Phone: 814-437-0100
Provider Number: 395777
Last Inspection: 05/26/2017

About the Nursing Home

Number of Beds: 148
Number of Residents: 112
Beds Available: 36
Percent Occupancy: 76%
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
15

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2017
28

2016
19

2015

Medicare Ratings

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

 

Details by Inspection Date

5/26/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 7/10/2017
 
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 7/10/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/10/2017
 

6/23/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/12/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 8/12/2016
 
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. Pattern : Minimal 4 8/12/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/12/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/12/2016
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Isolated : Minimal 3 8/12/2016
 
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 8/12/2016
 
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 8/12/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/12/2016
 

5/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 7/10/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/10/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/10/2015
 
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 7/10/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Potential 3 7/10/2015
 

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 112 79.60 110.03
Registered Nurses 0.77 1.43 0.94
Licensed Practical / Vocational Nurses 0.85 1.30 0.85
Certified Nursing Assistants 2.51 2.19 2.26
Total Staff Hours 4.13 4.91 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 3 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 98 95
of long-stay residents experiencing one or more falls with major injury 6 4 3
of long-stay residents who have depressive symptoms 15 12 2
of long-stay residents who lose too much weight 2 6 7
of long-stay residents who received an antianxiety or hypnotic medication 20 18 22
of long-stay residents who received an antipsychotic medication 13 13 15
of long-stay residents who self-report moderate to severe pain 3 4 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 19 20
of long-stay residents whose need for help with daily activities has increased 11 15 15
of long-stay residents with a catheter inserted and left in their bladder 1 0 1
of long-stay residents with a urinary tract infection 8 5 3
of low risk long-stay residents who lose control of their bowels or bladder 62 57 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 96 94 83
of short-stay residents who had an outpatient emergency department visit 10 9 10
of short-stay residents who made improvements in function 61 73 64
of short-stay residents who newly received an antipsychotic medication 2 2 1
of short-stay residents who self-report moderate to severe pain 13 20 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 90 82
of short-stay residents who were rehospitalized after a nursing home admission 18 20 20
of short-stay residents who were successfully discharged to the community 38 49 52
of short-stay residents with pressure ulcers that are new or worsened 5 1 0