General Information: LUTHERAN HOME AT HOLLIDAYSBURG
Nursing home name LUTHERAN HOME AT HOLLIDAYSBURG
Address916 HICKORY STREET
HOLLIDAYSBURG, PA 16648
Phone number (814) 696-4527
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityYes
Resident and family councils Both
Certified number of beds 89
Total number of residents 81
Perc of occupied beds 91
Sprinkler status Partial
Number of Facility Reported Incidents0
Number of Substantiated Complaints4
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: LUTHERAN HOME AT HOLLIDAYSBURG
Overall rating 4
4
Nursing Home Staffing 3
3
Registered Nurses only 2
2
Health Inspections 4
4
Quality Measures 4
4
Nursing Home Staffing Info: LUTHERAN HOME AT HOLLIDAYSBURG
National AveragePennsylvania AverageLUTHERAN HOME AT HOLLIDAYSBURG
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 81
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.05 hours 4.15 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.78 hours 1.85 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.94 hours 0.58 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 1.26 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.26 hours 2.31 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.12 hours 0.06 hours
Health Survey: LUTHERAN HOME AT HOLLIDAYSBURG
Heath Survey Summary on 2014-01-06
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2013-02-13
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 2012-01-12
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: LUTHERAN HOME AT HOLLIDAYSBURG
Inspection Results: 01/06/2014
Corrected Deficiency Scope and Severity
01/07/2014 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Minimal harm or potential for actual harm
02/03/2014 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
01/31/2014 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Inspection Results: 02/13/2013
Corrected Deficiency Scope and Severity
03/28/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
Inspection Results: 01/12/2012
Corrected Deficiency Scope and Severity
03/09/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Potential for minimal harm
03/09/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
03/09/2012 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Minimal harm or potential for actual harm
03/09/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
03/09/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Potential for minimal harm
03/09/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
03/09/2012 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Potential for minimal harm

Fire Safety Survey: LUTHERAN HOME AT HOLLIDAYSBURG
Fire Safety Survey Summary on 2014-01-21
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 Summary on 2013-02-21
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2012-01-23
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: LUTHERAN HOME AT HOLLIDAYSBURG
Fire Safety Survey Results: 01/21/2014
Corrected Deficiency Severity
02/17/2014 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm
02/17/2014 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
02/17/2014 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/21/2013
Corrected Deficiency Severity
03/28/2013 Other fire safety features required by fire safety codes. Widespread/Potential for minimal harm
Fire Safety Survey Results: 01/23/2012
Corrected Deficiency Severity
03/16/2012 Exit stairways and towers that are smoke proof. Pattern/Minimal harm or potential for actual harm

Resident Complaints: LUTHERAN HOME AT HOLLIDAYSBURG
Date Complaint Substantiated: 10/18/2013
CorrectedCategoryDeficiencySeverity
10/23/20131) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. D

Quality Measures: LUTHERAN HOME AT HOLLIDAYSBURG
Quality Measures National Average Pennsylvania Average LUTHERAN HOME AT HOLLIDAYSBURG
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% 15.5% 12.6%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.1% 20.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 3.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.5% 8.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 55.9% 41.0%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.4% 0.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.0% 4.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.7% 2.4%
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% 2.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 98.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.2% 77.9%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 19.3% 15.2%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 19.5% 37.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 1.8%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.3% 69.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.4% 60.2%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.6% 3.7%

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