US Nursing Home Finder™: BARCLAY FRIENDS WEST CHESTER PA

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Resident Complaints of BARCLAY FRIENDS
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General Information: BARCLAY FRIENDS
Nursing home name	BARCLAY FRIENDS
Address	700 NORTH FRANKLIN WEST CHESTER, PA 19380
Phone number	(610) 696-5211
Located within a hospital	No
Type of ownership	Non profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	Yes
Resident and family councils	RESIDENT
Certified number of beds	99
Total number of residents	92
Perc of occupied beds	93
Sprinkler status	fully sprinklered
Last health survey date	09/15/2009
Fire survey date:	09/30/2009

Ratings Summary: BARCLAY FRIENDS
Overall rating	1 out of 5 stars
Nursing Home Staffing	3 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	1 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: BARCLAY FRIENDS
	National Average	BARCLAY FRIENDS
Overall staff rating	Not Available.	3 out of 5 stars
Registered Nurses only rating	Not Available	4 out of 5 stars
Total Number of Residents	94.2	92
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.53 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.71 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.82 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.71 hours

Health Inpections: BARCLAY FRIENDS
Inspection Results: 09/15/2009
Corrected	Category	Deficiency	Severity
11/14/2009	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
11/14/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	D
11/14/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
11/14/2009	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	F
11/14/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
11/14/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
11/14/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
11/14/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
Inspection Results: 09/23/2008
Corrected	Category	Deficiency	Severity
11/21/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
11/21/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	E
11/21/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
11/21/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Inspection Results: 10/04/2007
Corrected	Category	Deficiency	Severity
12/03/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
12/03/2007	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	D
12/03/2007	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	D
12/03/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
01/02/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
12/03/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
12/03/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
12/03/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
12/03/2007	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	G

Fire Safety Inpections: BARCLAY FRIENDS
Inspection Results: 09/30/2009
Corrected	Category	Deficiency	Severity
11/27/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
11/27/2009	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	E
12/22/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
11/27/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	F
11/27/2009	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	D
11/27/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	F
11/27/2009	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	E
12/22/2009	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E
12/22/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
11/27/2009	Building Construction Deficiencies	approved construction type or materials.	D
Inspection Results: 08/27/2008
Corrected	Category	Deficiency	Severity
10/25/2008	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	D
10/25/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
11/21/2008	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F
10/25/2008	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	D
10/25/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
10/25/2008	Fire Alarm Systems Deficiencies	a fire alarm system that can be heard throughout the facility.	E
10/25/2008	Building Construction Deficiencies	a two-hour-resistant firewall in common walls.	F
10/25/2008	Corridor Walls and Doors Deficiencies	signs that state that exit doors are to be kept closed.	D
10/25/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
10/25/2008	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E
Inspection Results: 10/10/2007
Corrected	Category	Deficiency	Severity
12/03/2007	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	C
12/03/2007	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	C
12/03/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	B

Resident Complaints: BARCLAY FRIENDS
Date Complaint Substantiated: 06/05/2009
Corrected	Category	Deficiency	Severity
07/17/2009	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
Date Complaint Substantiated: 05/20/2009
Corrected	Category	Deficiency	Severity
07/17/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
07/17/2009	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
07/17/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
07/17/2009	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	D
Date Complaint Substantiated: 03/23/2007
Corrected	Category	Deficiency	Severity
05/30/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G

Quality Measures: BARCLAY FRIENDS
Quality Measures	National Average	BARCLAY FRIENDS
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents who had a urinary tract infection	9%	6%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	18%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	5%
Percent of low-risk long-stay residents who have pressure sores	2%	0%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	88%
Percent of long-stay residents who have moderate to severe pain	3%	0%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	0%
Percent of long-stay residents whose need for help with daily activities has increased	14%	22%
Percent of long-stay residents who are more depressed or anxious	14%	11%
Percent of high-risk long-stay residents who have pressure sores	11%	13%
Percent of long-stay residents who lose too much weight	8%	3%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	53%
Short-Stay Residents
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	85%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who have pressure sores	13%	12%
Percent of short-stay residents who had moderate to severe pain	19%	14%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety