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Marjorie P Lee Retirement Community
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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 |
|---|---|---|---|
| — | Apr 4, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| — | Oct 11, 2018 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D |
| — | Oct 11, 2018 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D |
| — | Oct 11, 2018 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| — | Oct 11, 2018 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
0.9 RN Hours / Resident / Day
5.7 Total Nurse Hours / Resident / Day
12.5% RN Turnover Rate
4.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
71.2 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 EPISCOPAL RETIREMENT HOMES, INC.
OPERATIONAL/MANAGERIAL CONTROL EPISCOPAL RETIREMENT HOMES, INC.
OPERATIONAL/MANAGERIAL CONTROL EDWARDS, BEVERLY
OPERATIONAL/MANAGERIAL CONTROL FRASER, BONITA
OPERATIONAL/MANAGERIAL CONTROL SCHLAUDECKER, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL STEWARD, DANIEL
OPERATIONAL/MANAGERIAL CONTROL WILLIAMS, ANTHONY
CORPORATE DIRECTOR ANIM, DORA
CORPORATE DIRECTOR COOPER, W.
CORPORATE DIRECTOR ELIN, REVEREND DARREN
Recent Penalties
No penalty records found.
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