Cathedral Village Continuing Care Retirement Facility
Fines, Complaints, and Inspection Problems in the Past 3 Years 
Compare The Number of Problems
Types of Problems at Nursing Homes
Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.
| Residents Affected | |||
| Severity of the Deficiency | Few | Some | Many |
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm that is not immediate jeopardy | G | H | I |
| No actual harm with potential for more than minimal harm that is not immediate jeopardy | D | E | F |
| No actual harm with potential for minimal harm | A | B | C |
July 23, 2021 - 15 months ago
| Residents Affected | Severity | Source/Type | View Full Report | |
|---|---|---|---|---|
| D | Few | Potential for Harm | Health Inspection | Resident Rights Deficiencies: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| D | Few | Potential for Harm | Health Inspection | Freedom from Abuse, Neglect, and Exploitation Deficiencies: Respond appropriately to all alleged violations. |
| D | Few | Potential for Harm | Health Inspection | Resident Assessment and Care Planning Deficiencies: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| D | Few | Potential for Harm | Health Inspection | Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable. |
| D | Few | Potential for Harm | Health Inspection | Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident's preferences and goals. |
| D | Few | Potential for Harm | Health Inspection | Pharmacy Service Deficiencies: Ensure medication error rates are not 5 percent or greater. |
| D | Few | Potential for Harm | Health Inspection | Pharmacy Service Deficiencies: 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. |
| D | Few | Potential for Harm | Health Inspection | Administration Deficiencies: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
January 4, 2021 - 2 years ago
| Residents Affected | Severity | Source/Type | View Full Report | |
|---|---|---|---|---|
| - | - | - | Fine | $975 fine |
December 28, 2020 - 2 years ago
| Residents Affected | Severity | Source/Type | View Full Report | |
|---|---|---|---|---|
| - | - | - | Fine | $650 fine |
December 23, 2020 - 2 years ago
| Residents Affected | Severity | Source/Type | View Full Report | |
|---|---|---|---|---|
| D | Few | Potential for Harm | Complaint | Resident Assessment and Care Planning Deficiencies: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
October 28, 2020 - 2 years ago
| Residents Affected | Severity | Source/Type | View Full Report | |
|---|---|---|---|---|
| D | Few | Potential for Harm | Complaint | Resident Rights Deficiencies: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
Quality Measures for Long Stay Residents
| 96.5% | 96.5% | 96.5% | 94.9% | 94.6% | 95.4% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
| 65.7% | 94.7% | 94.4% | 85.3% | 88.8% | 92.7% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
| 64.7% | 66.7% | 52.6% | 64.3% | 54.9% | 47.0% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of low risk long-stay residents who lose control of their bowels or bladder
| 25.8% | 24.6% | 31.9% | 27.8% | 19.8% | 19.5% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents who received an antianxiety or hypnotic medication
| 13.6% | 13.6% | 14.7% | 23.3% | 21.7% | 18.0% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents whose ability to move independently worsened
| 19.7% | 5.8% | 14.5% | 12.9% | 14.8% | 14.6% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents whose need for help with daily activities has increased
| 19.1% | 16.4% | 18.8% | 17.8% | 15.6% | 14.5% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents who received an antipsychotic medication
| 0.0% | 2.3% | 4.9% | 4.3% | 7.6% | 8.1% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of high risk long-stay residents with pressure ulcers
| 0.0% | 1.4% | 1.4% | 1.4% | 3.1% | 7.5% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents who have depressive symptoms
| 1.5% | 3.1% | 3.0% | 8.6% | 6.3% | 6.0% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents who lose too much weight
| 2.9% | 2.7% | 1.4% | 5.3% | 3.4% | 3.4% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents experiencing one or more falls with major injury
| 1.4% | 0.0% | 0.0% | 0.0% | 1.9% | 2.4% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents with a urinary tract infection
| 0.0% | 0.0% | 0.0% | 0.0% | 1.4% | 1.6% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents with a catheter inserted and left in their bladder
| 0.0% | 0.0% | 0.0% | 0.0% | 0.2% | 0.2% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of long-stay residents who were physically restrained
Quality Measures for Short Stay Residents
| 68.0% | 62.5% | 53.8% | 57.1% | 71.9% | 79.5% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
| 83.9% | 83.9% | 83.9% | 73.9% | 71.9% | 76.7% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
| - | - | - | - | 72.5% | 74.3% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
| - | - | - | - | 1.5% | 1.8% |
| Q2 2021 | Q3 2021 | Q4 2021 | Q1 2022 | PA | U.S. |
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
Some page content retrieved from Google Places
Source: https://www.seniorcare.com/nursing-homes/pa/philadelphia/cathedral-village/395467/
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