West Chester Nursing & Rehabilitation Center

9117 CINCINNATI COLUMBUS ROAD
West Chester, OH 45069
(513) 777-6164
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 93
Number of Residents: 48
Percent of Occupied Beds: 52%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080129 Health Environmental Deficiencies Keep temperature levels comfortable and safe. Pattern Minimal harm or potential for actual harm 20080227
20080129 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20080227
20080129 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20080227
20080129 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080227
20080609 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20080710
20080609 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20080710
20080619 Health Quality Care Deficiencies Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Pattern Minimal harm or potential for actual harm 20080710
20080619 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20080710
20080911 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Pattern Minimal harm or potential for actual harm 20081113
20081023 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20081113
20081023 Health Resident Assessment Deficiencies Develop a plan with the resident and family for the resident's care after leaving the nursing home. Isolated Minimal harm or potential for actual harm 20081113
20081023 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Isolated Minimal harm or potential for actual harm 20081113
20081107 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20081204
20081107 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Isolated Minimal harm or potential for actual harm 20081204
20081107 Health Environmental Deficiencies Provide clean bed and bath linens that are in good condition. Pattern Minimal harm or potential for actual harm 20081204
20081107 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20081204
20081107 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Widespread Minimal harm or potential for actual harm 20081204
20090330 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20090430
20090627 Health Quality Care Deficiencies Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated Minimal harm or potential for actual harm 20090723
20090627 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090723
20090627 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated Minimal harm or potential for actual harm 20090925
20090627 Health Quality Care Deficiencies Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Pattern Minimal harm or potential for actual harm 20090723
20090818 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20090925
20090925 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20091023
20090925 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20091023
20091222 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern Minimal harm or potential for actual harm 20100225
20091222 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm 20100205
20100205 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20100225
20100205 Health Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern Minimal harm or potential for actual harm 20100225
20100205 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20100225
20100212 Health Mistreatment Deficiencies 1) Hire only people who have 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. Pattern Minimal harm or potential for actual harm 20100225
20100212 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Pattern Minimal harm or potential for actual harm 20100225
20100506 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20100607
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 74
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 87
Percent of long-stay residents whose need for help with daily activities has increased: 4
Percent of long-stay residents who have moderate to severe pain: 6
Percent of high-risk long-stay residents who have pressure sores: 16
Percent of low-risk long-stay residents who have pressure sores: Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 10
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 47
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 14
Percent of long-stay residents who spend most of their time in bed or in a chair: 12
Percent of long-stay residents whose ability to move about in and around their room got worse: 6
Percent of long-stay residents who had a urinary tract infection: 15
Percent of long-stay residents who lose too much weight: 14
Percent of short-stay residents given influenza vaccination during the flu season: 35
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 37
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 29
Percent of short-stay residents who have pressure sores: 27
# of Residents: 48
# RN Hours per Resident: 1.04
# LPN Hours per Resident: 0.83
# CNA Hours per Resident: 2.7
Total Staff Hours per Resident: 1.87