| St Peters Nursing and Rehabilitation Center | |
| 301 Hackett Blvd, Albany, New York 12208 | |
| (518) 525-7600 | |
| Name | St Peters Nursing and Rehabilitation Center |
|---|---|
| Location | 301 Hackett Blvd, Albany, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 160 |
| Occupancy Rate | 63.5% |
| Medicare ID (CCN) | 335128 |
| Legal Business Name | Villa Mary Immaculate |
| Ownership Type | Non Profit - Corporation |
| Chain | Trinity Health (19 nursing homes) |
| Chain Average Overall Rating | 3.3 out of 5 |
| NPI Number | 1144215625 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Villa Mary Immaculate |
| Doing Business As | St. Peter's Nursing and Rehabilitation Center |
| Address | 301 Hackett Blvd, Albany, NY 12208 |
| Phone Number | 518-525-7600 |
| 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 | 4.33 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.75 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.13 | 0.86 |
| Nurse aide hours per resident per day | 2.44 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.93 | 3.42 |
| RN hours per resident per day on the weekend | 0.45 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 49.3% | 45.8% |
| Registered nurse turnover | 44.4% | 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 |
|---|---|---|---|
| May 29, 2026 | 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, Complaint inspection | Potential for harm, pattern | No revisit needed |
| May 29, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | No revisit needed |
| Nov 17, 2022 | 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 Jan 13, 2023 |
| Nov 17, 2022 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 13, 2023 |
| Nov 17, 2022 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 13, 2023 |
| Oct 7, 2020 | 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 Dec 4, 2020 |
| Oct 7, 2020 | 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 Dec 4, 2020 |
| Oct 7, 2020 | 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 4, 2020 |
| Oct 7, 2020 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2020 |
| Feb 15, 2019 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 12, 2019 |
| Feb 15, 2019 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 12, 2019 |
| Feb 15, 2019 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 12, 2019 |
| Feb 15, 2019 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0836, Administration, Standard inspection | Potential for harm, pattern | Corrected by Apr 12, 2019 |
| Feb 15, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 12, 2019 |
| Feb 15, 2019 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 12, 2019 |
| Feb 15, 2019 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 12, 2019 |
| Feb 15, 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 Apr 12, 2019 |
| Feb 15, 2019 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 12, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.52 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.47 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.91 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.91 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.34 | 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 | 4.53 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.68 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.42 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.71 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.09 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.76 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.81 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.79 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.67 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.77 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.87 | 15.38 |
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