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Surrey Place St Lukes Hospital Skilled Nursing
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Sep 11, 2024 | Ensure that residents are free from significant medication errors. | D |
| — | Aug 1, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E |
| — | Aug 1, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| — | Aug 1, 2024 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F |
| — | Aug 1, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F |
1.8 RN Hours / Resident / Day
5.4 Total Nurse Hours / Resident / Day
40.0% RN Turnover Rate
3.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
50.5 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL BAGNALL, ANDREW
OPERATIONAL/MANAGERIAL CONTROL BOESCH, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL FRANKLIN, SUSAN
OPERATIONAL/MANAGERIAL CONTROL IVIE, GINA
OPERATIONAL/MANAGERIAL CONTROL VITIELLO, JONATHAN
CORPORATE DIRECTOR BOESCH, JEFFREY
CORPORATE DIRECTOR EAKER, NORMAN
CORPORATE DIRECTOR FRANKLIN, SUSAN
Recent Penalties
No penalty records found.
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