General Information: CHERRY HILL MANOR
Nursing home name CHERRY HILL MANOR
Address2 CHERRY HILL ROAD
JOHNSTON, RI 02919
Phone number (401) 231-3102
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 CommunityNo
Resident and family councils Resident
Certified number of beds 166
Total number of residents 155
Perc of occupied beds 93
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: CHERRY HILL MANOR
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: CHERRY HILL MANOR
National AverageRhode Island AverageCHERRY HILL MANOR
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 155
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.84 hours 3.86 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.28 hours 1.63 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.97 hours 1.11 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.31 hours 0.52 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.56 hours 2.23 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.06 hours 0.11 hours
Health Survey: CHERRY HILL MANOR
Heath Survey Summary on 2013-11-01
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-12-14
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 2011-10-21
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: CHERRY HILL MANOR
Inspection Results: 11/01/2013
Corrected Deficiency Scope and Severity
11/29/2013 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
11/29/2013 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
Inspection Results: 12/14/2012
Corrected Deficiency Scope and Severity
01/14/2013 Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated/Minimal harm or potential for actual harm
Inspection Results: 10/21/2011
Corrected Deficiency Scope and Severity
11/13/2011 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
11/13/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
11/13/2011 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
11/13/2011 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. Pattern/Minimal harm or potential for actual harm
11/13/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: CHERRY HILL MANOR
Fire Safety Survey Summary on 2013-11-01
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-12-12
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-10-21
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: CHERRY HILL MANOR
Fire Safety Survey Results: 12/12/2012
Corrected Deficiency Severity
01/14/2013 Proper facilities for the use and storage of combustible liquids. Isolated/Minimal harm or potential for actual harm
01/14/2013 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
01/14/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm

Resident Complaints: CHERRY HILL MANOR
Date Complaint Substantiated: 02/03/2012
CorrectedCategoryDeficiencySeverity
02/28/2012Make sure that a working call system is available in each resident's room or bathroom and bathing area. D
02/28/2012Ensure services provided by the nursing facility meet professional standards of quality. E
02/28/20121) 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. E

Quality Measures: CHERRY HILL MANOR
Quality Measures National Average Rhode Island Average CHERRY HILL MANOR
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% 17.4% 12.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 7.2% 8.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.3% 2.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 3.1%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 42.7% 61.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.5% 3.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 9.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.1% 12.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.4% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.7% 4.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 91.0% 87.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.7% 97.2%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 18.5% 11.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 19.7% 24.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.8% 0.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.0% 90.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.3% 93.2%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.1% 2.1%

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