| Mt Macrina Manor | |
| 520 West Main Street, Uniontown, Pennsylvania 15401 | |
| (724) 430-1120 | |
| Name | Mt Macrina Manor |
|---|---|
| Location | 520 West Main Street, Uniontown, Pennsylvania |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 124 |
| Occupancy Rate | 91.29% |
| Medicare ID (CCN) | 395629 |
| Legal Business Name | Mount Macrina Manor Nursing Home |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1518941657 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Mount Macrina Manor Nursing Home |
| Address | 520 W Main St, Uniontown, PA 15401 |
| Phone Number | 724-437-1400 |
| 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 | 3.84 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.54 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.11 | 0.86 |
| Nurse aide hours per resident per day | 2.2 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.56 | 3.42 |
| RN hours per resident per day on the weekend | 0.32 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 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 29, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, widespread | Corrected by Feb 20, 2026 |
| Aug 14, 2025 | 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 | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, isolated | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941, Administration, Standard inspection | Minimal harm potential, widespread | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944, Administration, Standard inspection | Minimal harm potential, pattern | Corrected by Oct 1, 2025 |
| Aug 14, 2025 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949, Administration, Standard inspection | Minimal harm potential, pattern | Corrected by Oct 1, 2025 |
| Aug 30, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 1, 2024 |
| Aug 18, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, widespread | Corrected by Nov 30, 2023 |
| Aug 18, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Aug 18, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 6, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.18 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.98 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.29 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.64 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.71 | 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 | 4.67 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.69 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.47 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.95 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.32 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.32 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.53 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.29 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.11 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.06 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.78 | 15.38 |
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