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Mt Hope Nazarene 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 |
|---|---|---|---|
| — | Sep 5, 2024 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D |
| — | Sep 5, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| — | Nov 2, 2023 | Ensure each resident receives an accurate assessment. | D |
| — | Nov 2, 2023 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| — | Nov 16, 2022 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
0.7 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
30.0% RN Turnover Rate
5.0 Long-Stay QM Rating
— Short-Stay QM Rating
49.4 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
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST EPHRATA CHURCH OF THE NAZARENE
OPERATIONAL/MANAGERIAL CONTROL MAXIM, MARINA
OPERATIONAL/MANAGERIAL CONTROL PECK, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL TORNABE, MICHELE
OPERATIONAL/MANAGERIAL CONTROL WICKENHEISER, THOMAS
CORPORATE DIRECTOR FILLMORE, DEBBIE
CORPORATE DIRECTOR LOVELL, SUSIE
CORPORATE DIRECTOR LUCAS, JOANNA
CORPORATE DIRECTOR MARTIN, LEON
CORPORATE DIRECTOR MAXIM, MARINA
Recent Penalties
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