General Information: BROOKLYN UNITED METHODIST CHURCH HOME
Nursing home name BROOKLYN UNITED METHODIST CHURCH HOME
Address1485 DUMONT AVENUE
BROOKLYN, NY 11208
Phone number (718) 827-4500
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 120
Total number of residents 114
Perc of occupied beds 95
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BROOKLYN UNITED METHODIST CHURCH HOME
Overall rating 2
2
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: BROOKLYN UNITED METHODIST CHURCH HOME
National AverageNew York AverageBROOKLYN UNITED METHODIST CHURCH HOME
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 114
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.95 hours 1.79 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.56 hours 1.13 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.72 hours 0.43 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 0.7 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.39 hours 0.66 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.05 hours
Health Survey: BROOKLYN UNITED METHODIST CHURCH HOME
Heath Survey Summary on 2013-02-28
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-27
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Heath Survey Summary on 2011-04-12
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: BROOKLYN UNITED METHODIST CHURCH HOME
Inspection Results: 02/28/2013
Corrected Deficiency Scope and Severity
04/01/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
03/28/2013 Make sure that doctors visit residents regularly, as required. Isolated/Minimal harm or potential for actual harm
04/05/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
Inspection Results: 04/27/2012
Corrected Deficiency Scope and Severity
06/22/2012 Send unopened mail from residents and promptly deliver unopened mail to residents. Widespread/Potential for minimal harm
Inspection Results: 04/12/2011
Corrected Deficiency Scope and Severity
06/10/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
06/10/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
06/10/2011 Provide care by qualified persons according to each resident's written plan of care. Pattern/Minimal harm or potential for actual harm
06/10/2011 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
06/10/2011 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
06/10/2011 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated/Minimal harm or potential for actual harm
06/10/2011 Give residents a notice of rights, rules, services and charges. Isolated/Minimal harm or potential for actual harm
06/10/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
06/10/2011 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated/Minimal harm or potential for actual harm
06/10/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
06/10/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: BROOKLYN UNITED METHODIST CHURCH HOME
Fire Safety Survey Summary on 2013-02-28
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-04-27
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-08
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: BROOKLYN UNITED METHODIST CHURCH HOME
Fire Safety Survey Results: 02/28/2013
Corrected Deficiency Severity
03/28/2013 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/27/2012
Corrected Deficiency Severity
06/22/2012 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
06/22/2012 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm
06/22/2012 Noncombustible or limited-combustible interior walls. Isolated/Minimal harm or potential for actual harm
06/22/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
06/22/2012 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/08/2011
Corrected Deficiency Severity
06/10/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
06/05/2011 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
06/10/2011 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm

Resident Complaints: BROOKLYN UNITED METHODIST CHURCH HOME
Date Complaint Substantiated: 01/17/2013
CorrectedCategoryDeficiencySeverity
01/31/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D

Quality Measures: BROOKLYN UNITED METHODIST CHURCH HOME
Quality Measures National Average New York Average BROOKLYN UNITED METHODIST CHURCH HOME
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.3% 18.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 4.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.7% 6.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.3% 4.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 44.4% 27.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.7% 2.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.8% 5.8%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 11.6% 10.9%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.8% 0.3%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.7% 0.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.9% 89.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 96.9% 97.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 18.7% 20.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 14.6% 10.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 5.5%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.1% 72.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.8% 74.2%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.4% 7.1%

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