General Information: EPWORTH MANOR
Nursing home name EPWORTH MANOR
Address951 WASHINGTON AVENUE
TYRONE, PA 16686
Phone number (814) 684-0320
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityYes
Resident and family councils Both
Certified number of beds 102
Total number of residents 95
Perc of occupied beds 93
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: EPWORTH MANOR
Overall rating 3
3
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: EPWORTH MANOR
National AveragePennsylvania AverageEPWORTH MANOR
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 95
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.05 hours 3.39 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.78 hours 1.33 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.94 hours 0.49 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 0.85 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.26 hours 2.06 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.12 hours 0.06 hours
Health Survey: EPWORTH MANOR
Heath Survey Summary on 2013-06-13
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-09
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-08
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: EPWORTH MANOR
Inspection Results: 06/13/2013
Corrected Deficiency Scope and Severity
07/30/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
Inspection Results: 05/09/2012
Corrected Deficiency Scope and Severity
06/29/2012 Ensure services provided by the nursing facility meet professional standards of quality. Widespread /Minimal harm or potential for actual harm
06/29/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
06/08/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Potential for minimal harm
Inspection Results: 06/08/2011
Corrected Deficiency Scope and Severity
07/22/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
07/22/2011 Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated/Minimal harm or potential for actual harm
07/22/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
07/22/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
07/22/2011 Operate and provide services according to Federal, State, and local laws and professional standards. Isolated/Minimal harm or potential for actual harm
07/22/2011 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: EPWORTH MANOR
Fire Safety Survey Summary on 2013-06-03
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-02
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-06-27
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: EPWORTH MANOR
Fire Safety Survey Results: 06/03/2013
Corrected Deficiency Severity
06/30/2013 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
06/30/2013 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/02/2012
Corrected Deficiency Severity
06/16/2012 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
06/16/2012 Exits that are free from obstructions and can be used at all times. Widespread /Minimal harm or potential for actual harm
06/16/2012 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/27/2011
Corrected Deficiency Severity
08/26/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
08/26/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
08/26/2011 An approved automatic sprinkler system connected to the fire alarm system. Widespread /Minimal harm or potential for actual harm
08/26/2011 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm

Resident Complaints: EPWORTH MANOR
Date Complaint Substantiated: 02/12/2014
CorrectedCategoryDeficiencySeverity
03/27/2014Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
Date Complaint Substantiated: 09/19/2012
CorrectedCategoryDeficiencySeverity
11/02/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D

Quality Measures: EPWORTH MANOR
Quality Measures National Average Pennsylvania Average EPWORTH MANOR
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.5% 15.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.1% 8.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 2.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.5% 11.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 55.9% 60.8%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.4% 5.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.0% 1.6%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.7% 3.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.2% 2.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 88.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.2% 68.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 19.3% 21.7%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 19.5% 18.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.3% 72.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.4% 56.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.6% 0.0%

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