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Village At Pennwood
909 WEST STREET
Pittsburgh, PA 15221
(412) 723-3662
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 126 |
| Number of Residents: | 117 |
| Percent of Occupied Beds: | 93% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | Yes |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080111 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20080128 |
| 20080327 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20080425 |
| 20080612 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20080725 |
| 20080612 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20080725 |
| 20080801 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Minimal harm or potential for actual harm | 20080825 |
| 20080815 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Potential for minimal harm | 20080911 |
| 20080908 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20081013 |
| 20080908 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20081013 |
| 20080908 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm | 20081013 |
| 20081030 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm | 20081229 |
| 20081030 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20081229 |
| 20090105 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20090303 |
| 20090105 | Health | Resident Assessment Deficiencies | Do a new assessment after any major change in a resident's physical or mental health. | Isolated | Minimal harm or potential for actual harm | 20090303 |
| 20090105 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20090303 |
| 20090212 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20090313 |
| 20090212 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Pattern | Minimal harm or potential for actual harm | 20090313 |
| 20090226 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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 harm or potential for actual harm | 20090313 |
| 20090316 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20090401 |
| 20090811 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20090914 |
| 20090811 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20090914 |
| 20090818 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm | 20090923 |
| 20090818 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20090923 |
| 20090818 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Minimal harm or potential for actual harm | 20090923 |
| 20091009 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Minimal harm or potential for actual harm | 20091112 |
| 20091009 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20091112 |
| 20091027 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Pattern | Minimal harm or potential for actual harm | 20091112 |
| 20091102 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20091124 |
| 20091102 | Health | Resident Assessment Deficiencies | Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. | Isolated | Minimal harm or potential for actual harm | 20091124 |
| 20091113 | Health | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Pattern | Minimal harm or potential for actual harm | 20091211 |
| 20091125 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm | 20091225 |
| 20100120 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100205 |
| 20100302 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20100326 |
| 20100628 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Pattern | Minimal harm or potential for actual harm | 20100730 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 72 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 39 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 20 | |
| Percent of long-stay residents who have moderate to severe pain: | 6 | |
| Percent of high-risk long-stay residents who have pressure sores: | 15 | |
| Percent of low-risk long-stay residents who have pressure sores: | 5 | |
| Percent of long-stay residents who were physically restrained: | 11 | |
| Percent of long-stay residents who are more depressed or anxious: | 17 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 45 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 5 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 18 | |
| Percent of long-stay residents who had a urinary tract infection: | 3 | |
| Percent of long-stay residents who lose too much weight: | 12 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 63 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 44 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 30 | |
| Percent of short-stay residents who have pressure sores: | 13 | |
| # of Residents: | 117 |
| # RN Hours per Resident: | 0.63 |
| # LPN Hours per Resident: | 1 |
| # CNA Hours per Resident: | 1.24 |
| Total Staff Hours per Resident: | 1.63 |
