| Church Home of the Protestant Episcopal Church | |
| 505 Mt. Hope Avenue, Rochester, New York 14620 | |
| (585) 546-8400 | |
| Name | Church Home of the Protestant Episcopal Church |
|---|---|
| Location | 505 Mt. Hope Avenue, Rochester, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 182 |
| Occupancy Rate | 75.88% |
| Medicare ID (CCN) | 335263 |
| Legal Business Name | The Church Home of the Protestant Episcopal Church in the City of Roch |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1255338117 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Church Home of the Protestant Episcopal Church in the City of Roch |
| Address | 505 Mount Hope Ave, Rochester, NY 14620 |
| Phone Number | 585-546-8400 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.23 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.47 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.33 | 0.86 |
| Nurse aide hours per resident per day | 2.43 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.83 | 3.42 |
| RN hours per resident per day on the weekend | 0.2 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 38.8% | 45.8% |
| Registered nurse turnover | 25% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 9, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 8, 2024 |
| Jan 9, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 8, 2024 |
| Jan 9, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 8, 2024 |
| Jan 9, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 8, 2024 |
| Jan 9, 2024 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 8, 2024 |
| Mar 11, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 5, 2022 |
| Mar 11, 2022 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2022 |
| Mar 11, 2022 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2022 |
| Mar 11, 2022 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2022 |
| Oct 8, 2019 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2019 |
| Oct 8, 2019 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2019 |
| Oct 8, 2019 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.85 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.05 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.53 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.82 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.97 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.03 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.77 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.6 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.21 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.29 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.49 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 22.66 | 15.38 |
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