Mercy Hospital Skilled Nursing Facility

Beds

Administrative

Statistics

Nursing Home CMS Quality (Short Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
430Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine75.00009/1/2020
434Percentage of short-stay residents who newly received an antipsychotic medication0.000099/1/2020
471Percentage of short-stay residents who made improvements in function0.000099/1/2020

Nursing Home CMS Quality (Long Stay)

Measure CodeMeasure DescriptionAverage ScoreFootnoteProcessing Date
401Percentage of long-stay residents whose need for help with daily activities has increased10.000011/1/2019
404Percentage of long-stay residents who lose too much weight4.012011/1/2019
405Percentage of low risk long-stay residents who lose control of their bowels or bladder78.947011/1/2019
406Percentage of long-stay residents with a catheter inserted and left in their bladder1.152011/1/2019
407Percentage of long-stay residents with a urinary tract infection2.439011/1/2019
408Percentage of long-stay residents who have depressive symptoms0.949011/1/2019
409Percentage of long-stay residents who were physically restrained0.000011/1/2019
410Percentage of long-stay residents experiencing one or more falls with major injury2.744011/1/2019
415Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000011/1/2019
419Percentage of long-stay residents who received an antipsychotic medication9.538011/1/2019
451Percentage of long-stay residents whose ability to move independently worsened19.524011/1/2019
452Percentage of long-stay residents who received an antianxiety or hypnotic medication15.951011/1/2019

Complaints

Enforcements

Survey DateDeficiency CategoryStipulation DateFine Assessed

Surveys

Initial Survey DateSurvey TypeTotal Visits Required
11/13/2019CERTIFICATION/COMPLAINT2
12/21/2018CERTIFICATION2
12/5/2017CERTIFICATION2
6/26/2020COMPLAINT1
7/31/2020COMPLAINT1

Citations

Inspection TypeDeficiencySeverityResidents AffectedDate of Initial SurveyDate Citation Corrected
LSCELECTRICAL EQUIPMENT - TESTING AND MAINTENANC229/12/20161/10/2020
LSCLIFE SAFETY CODE STANDARD219/12/201610/14/2016
LSCLIFE SAFETY CODE STANDARD229/12/201610/14/2016
LSCLIFE SAFETY CODE STANDARD229/12/201610/14/2016
LSCLIFE SAFETY CODE STANDARD229/12/201610/14/2016
LSCLIFE SAFETY CODE STANDARD229/12/201610/14/2016
HealthDEVELOP COMPREHENSIVE CARE PLANS219/12/201610/28/2016
HealthRES RECORDS-COMPLETE/ACCURATE/ACCESSIBLE219/12/201610/28/2016
HealthTREATMENT/CARE FOR SPECIAL NEEDS219/12/201610/28/2016
HealthREQUIREMENTS BEFORE SUBMITTING A REQUEST FOR219/12/201610/7/2016
LSCELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS229/12/201612/18/2017
LSCSPRINKLER SYSTEM - MAINTENANCE AND TESTING239/12/201612/18/2017
LSCELECTRICAL SYSTEMS - OTHER229/12/201612/29/2017
HealthFREE FROM UNNEC PSYCHOTROPIC MEDS/PRN USE219/12/20162/15/2019
LSCELECTRICAL SYSTEMS - ESSENTIAL ELECTRIC SYSTE229/12/20162/15/2019