| Medina Memorial Hospital SNF | |
| 200 Ohio Street, Medina, New York 14103 | |
| (585) 798-2000 | |
| Name | Medina Memorial Hospital SNF |
|---|---|
| Location | 200 Ohio Street, Medina, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 30 |
| Occupancy Rate | 96.67% |
| Medicare ID (CCN) | 335313 |
| Legal Business Name | Orleans Community Health |
| Ownership Type | Non Profit - Other |
| NPI Number | 1043341563 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Orleans Community Health |
| Doing Business As | Medina Memorial Hospital |
| Address | 200 Ohio Street, Medina, NY 14103 |
| Phone Number | 585-798-2000 |
| 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 | 4.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.84 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.87 | 0.86 |
| Nurse aide hours per resident per day | 2.64 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.04 | 3.42 |
| RN hours per resident per day on the weekend | 0.56 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 52.9% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | 0 | 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 |
|---|---|---|---|
| May 24, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2024 |
| May 24, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2024 |
| Aug 2, 2022 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Waiver has been granted |
| Aug 2, 2022 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 12, 2022 |
| Aug 2, 2022 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Sep 16, 2022 |
| Jan 6, 2020 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 6, 2020 |
| Jan 6, 2020 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 6, 2020 |
| Jan 6, 2020 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Mar 6, 2020 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.3 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.17 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.86 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.25 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.01 | 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 | 0.88 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.8 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.37 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 32.32 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.91 | 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 | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.6 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.25 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 26.88 | 15.38 |
Orchard Rehabilitation & Nursing Center Location: 600 Bates Road, Medina, New York 14103 Phone: (585) 798-4100 |