| Our Lady of Mercy Life Center | |
| 2 Mercycare Lane, Guilderland, New York 12084 | |
| (518) 464-8100 | |
| Name | Our Lady of Mercy Life Center |
|---|---|
| Location | 2 Mercycare Lane, Guilderland, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 160 |
| Occupancy Rate | 93.38% |
| Medicare ID (CCN) | 335767 |
| Legal Business Name | Our Lady of Mercy Life Center |
| Ownership Type | Non Profit - Corporation |
| Chain | Trinity Health (19 nursing homes) |
| Chain Average Overall Rating | 3.3 out of 5 |
| NPI Number | 1972598290 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Our Lady of Mercy Life Center |
| Address | 2 Mercycare Ln, Guilderland, NY 12084 |
| Phone Number | 518-464-8100 |
| 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 | 3.62 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.79 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.02 | 0.86 |
| Nurse aide hours per resident per day | 1.81 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.33 | 3.42 |
| RN hours per resident per day on the weekend | 0.4 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 50.3% | 45.8% |
| Registered nurse turnover | 40.5% | 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) | Yes |
| 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 |
|---|---|---|---|
| Oct 15, 2024 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Dec 6, 2024 |
| Oct 15, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Nov 22, 2024 |
| Oct 15, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 4, 2024 |
| Oct 15, 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, pattern | Corrected by Nov 29, 2024 |
| Oct 15, 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 | Potential for harm, pattern | Corrected by Oct 15, 2024 |
| Oct 15, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 6, 2024 |
| Oct 15, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2024 |
| Oct 15, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2024 |
| Oct 15, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 28, 2024 |
| Oct 15, 2024 | 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 Nov 28, 2024 |
| Oct 15, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 28, 2024 |
| Oct 15, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 15, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 15, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 15, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Sep 20, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Feb 14, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 13, 2022 |
| Feb 14, 2022 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 13, 2022 |
| Feb 14, 2022 | 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 Apr 13, 2022 |
| Feb 14, 2022 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, isolated | Corrected by Apr 13, 2022 |
| Feb 14, 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, isolated | Corrected by Apr 13, 2022 |
| Feb 14, 2022 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 13, 2022 |
| Feb 14, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 13, 2022 |
| Aug 13, 2019 | 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 Sep 30, 2019 |
| Aug 13, 2019 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Minimal harm potential, widespread | Corrected by Sep 30, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.56 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.61 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.01 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.23 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.7 | 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 | 2.4 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.66 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.34 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.93 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.19 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.89 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.66 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.08 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.44 | 15.38 |