EAGLE CREEK NURSING CENTER

Nursing Home Inspector

141 SPRUCE LANE
WEST UNION, OH 45693
Adams County
Phone: 937-544-5531
Provider Number: 365586
Last Inspection: 08/03/2017

About the Nursing Home

Number of Beds: 99
Number of Residents: 75
Beds Available: 24
Percent Occupancy: 76%
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

 

12

Facility
9

County
15

OH
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2017
19

2016
25

2015

Medicare Ratings

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

 

Details by Inspection Date

8/3/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/6/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/6/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/6/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/6/2017
 

6/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 7/19/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/19/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 7/19/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/19/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 7/19/2016
 

3/26/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Isolated : Minimal 3 5/8/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 5/8/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 5/8/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 5/8/2015
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 5/8/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 5/8/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 5/8/2015
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 5/8/2015
 

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 75 54.67 77.13
Registered Nurses 0.44 0.50 0.84
Licensed Practical / Vocational Nurses 0.84 0.48 0.92
Certified Nursing Assistants 1.04 1.13 2.24
Total Staff Hours 2.32 2.10 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 6 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 86 95 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87 93 94
of long-stay residents experiencing one or more falls with major injury 11 6 3
of long-stay residents who have depressive symptoms 0 12 12
of long-stay residents who lose too much weight 7 4 7
of long-stay residents who received an antianxiety or hypnotic medication 24 25 24
of long-stay residents who received an antipsychotic medication 25 11 16
of long-stay residents who self-report moderate to severe pain 9 4 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 17 14 18
of long-stay residents whose need for help with daily activities has increased 12 12 15
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 5 4 3
of low risk long-stay residents who lose control of their bowels or bladder 12 25 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 44 74 86
of short-stay residents who had an outpatient emergency department visit 15 14 13
of short-stay residents who made improvements in function 59 63 65
of short-stay residents who newly received an antipsychotic medication 2 1 2
of short-stay residents who self-report moderate to severe pain 42 17 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 56 78 82
of short-stay residents who were rehospitalized after a nursing home admission 26 25 23
of short-stay residents who were successfully discharged to the community 36 46 57
of short-stay residents with pressure ulcers that are new or worsened 0 0 0