REHAB AT SHANNONDELL

Nursing Home Inspector

5000 SHANNONDELL DRIVE
AUDUBON, PA 19403
Montgomery County
Phone: 610-728-5400
Provider Number: 396101
Last Inspection: 09/15/2016

About the Nursing Home

Number of Beds: 190
Number of Residents: 86
Beds Available: 104
Percent Occupancy: 45%
Insurance Accepted: Medicare
Types of Councils: Resident
Ownership: For 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

 

39

Facility
18

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

39

2016
0

2015
3

2014

Medicare Ratings

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

 

Details by Inspection Date

9/15/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 11/18/2016
 
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 11/18/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 11/18/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 11/18/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 11/18/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 11/18/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/18/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/18/2016
 
Failed To: Operate and provide services according to Federal, State, and local laws and professional standards. Widespread : Potential 4 11/18/2016
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Minimal 5 11/18/2016
 

11/25/2014 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 1/7/2015
 

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 86 107.56 110.03
Registered Nurses 1.63 1.11 0.94
Licensed Practical / Vocational Nurses 0.00 0.66 0.85
Certified Nursing Assistants 2.00 2.31 2.26
Total Staff Hours 3.63 4.08 4.05

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PA State Avg%
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82 5 5
of short-stay residents assessed and appropriately given the pneumococcal vaccine 96 93 94
of short-stay residents who had an outpatient emergency department visit 7 94 95
of short-stay residents who made improvements in function 49 3 3
of short-stay residents who newly received an antipsychotic medication 1 3 2
of short-stay residents who self-report moderate to severe pain 2 8 7
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87 23 22
of short-stay residents who were rehospitalized after a nursing home admission 15 13 15
of short-stay residents who were successfully discharged to the community 78 5 6
of short-stay residents with pressure ulcers that are new or worsened 1 0 0