| Teresian House Nursing Home Co Inc | |
| 200 Washington Ave Ext, Albany, New York 12203 | |
| (518) 456-2000 | |
| Name | Teresian House Nursing Home Co Inc |
|---|---|
| Location | 200 Washington Ave Ext, Albany, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 302 |
| Occupancy Rate | 94.6% |
| Medicare ID (CCN) | 335627 |
| Legal Business Name | Teresian House Nursing Home Co Inc |
| Ownership Type | Non Profit - Corporation |
| Chain | Carmelite Sisters for the Aged & Infirm (9 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1578550653 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Teresian House Nursing Home Co Inc |
| Address | 200 Washington Avenue Ext, Albany, NY 12203 |
| Phone Number | 518-456-2000 |
| 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 | 3.88 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.41 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.06 | 0.86 |
| Nurse aide hours per resident per day | 2.42 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.58 | 3.42 |
| RN hours per resident per day on the weekend | 0.22 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 33.5% | 45.8% |
| Registered nurse turnover | 30.4% | 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 |
|---|---|---|---|
| Nov 8, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 8, 2024 |
| Nov 8, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 9, 2024 |
| Nov 8, 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, Complaint inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Nov 8, 2024 | 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 12, 2024 |
| Nov 8, 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 Nov 14, 2024 |
| Nov 8, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2024 |
| Nov 8, 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 | Potential for harm, isolated | Corrected by Nov 18, 2024 |
| Nov 8, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Nov 8, 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, isolated | Corrected by Nov 20, 2024 |
| Jan 3, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Dec 23, 2021 | 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 | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Dec 23, 2021 | 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 Jan 23, 2022 |
| Dec 23, 2021 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2022 |
| Dec 23, 2021 | 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 Jan 30, 2022 |
| Dec 23, 2021 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2022 |
| Oct 10, 2019 | 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, pattern | Corrected by Dec 9, 2019 |
| Oct 10, 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 Dec 9, 2019 |
| Oct 10, 2019 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 9, 2019 |
| Oct 10, 2019 | 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 Dec 9, 2019 |
| Oct 10, 2019 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 9, 2019 |
| Oct 10, 2019 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 9, 2019 |
| Oct 10, 2019 | 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 | Corrected by Dec 9, 2019 |
| Oct 10, 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 Dec 9, 2019 |
| Oct 10, 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, isolated | Corrected by Dec 9, 2019 |
| Oct 10, 2019 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 9, 2019 |
| Oct 10, 2019 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Minimal harm potential, widespread | Corrected by Dec 9, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.25 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.54 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.52 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.72 | 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 | 6.07 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.55 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.32 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.77 | 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 | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.01 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.94 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.9 | 15.38 |
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