JOSHUA TREE CARE CENTER

Nursing Home Inspector

27500 MILL RD
NORTH OLMSTED, OH 44070
Cuyahoga County
Phone: 440-777-8444
Provider Number: 365533
Last Inspection: 08/24/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 49
Beds Available: 11
Percent Occupancy: 82%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

0

Facility
11

County
15

OH
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
0

2016
4

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

3/11/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Potential 4 4/15/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg OH State Avg
Number of Residents 49 97.85 77.13
Registered Nurses 0.85 1.00 0.84
Licensed Practical / Vocational Nurses 1.07 0.90 0.92
Certified Nursing Assistants 2.98 2.31 2.24
Total Staff Hours 4.91 4.20 3.99

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% OH State Avg%
of high risk long-stay residents with pressure ulcers 0 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 95 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 94 94
of long-stay residents experiencing one or more falls with major injury 4 3 3
of long-stay residents who have depressive symptoms 1 9 12
of long-stay residents who lose too much weight 5 7 7
of long-stay residents who received an antianxiety or hypnotic medication 8 16 24
of long-stay residents who received an antipsychotic medication 12 15 16
of long-stay residents who self-report moderate to severe pain 2 3 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 13 18 18
of long-stay residents whose need for help with daily activities has increased 7 15 15
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 1 2 3
of low risk long-stay residents who lose control of their bowels or bladder 57 44 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 84 86
of short-stay residents who had an outpatient emergency department visit 0 12 13
of short-stay residents who made improvements in function 75 63 65
of short-stay residents who newly received an antipsychotic medication 0 2 2
of short-stay residents who self-report moderate to severe pain 5 12 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91 80 82
of short-stay residents who were rehospitalized after a nursing home admission 15 26 23
of short-stay residents who were successfully discharged to the community 65 52 57
of short-stay residents with pressure ulcers that are new or worsened 0 0 0