SYCAMORE GLEN HEALTH CENTER

Nursing Home Inspector

2175 LEITER ROAD
MIAMISBURG, OH 45342
Montgomery County
Phone: 937-384-4308
Provider Number: 366000
Last Inspection: 10/06/2016

About the Nursing Home

Number of Beds: 100
Number of Residents: 96
Beds Available: 4
Percent Occupancy: 96%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Church related
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
12

County
15

OH
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2016
0

2015
6

2014

Medicare Ratings

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

 

Details by Inspection Date

10/6/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 11/3/2016
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 11/3/2016
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 11/3/2016
 
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 11/3/2016
 

4/10/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 4/21/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 4/21/2014
 

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 96 95.12 77.13
Registered Nurses 0.63 0.79 0.84
Licensed Practical / Vocational Nurses 1.02 1.01 0.92
Certified Nursing Assistants 2.15 2.21 2.24
Total Staff Hours 3.80 4.00 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 4 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 93 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 92 94
of long-stay residents experiencing one or more falls with major injury 5 3 3
of long-stay residents who have depressive symptoms 9 9 12
of long-stay residents who lose too much weight 5 8 7
of long-stay residents who received an antianxiety or hypnotic medication 23 26 24
of long-stay residents who received an antipsychotic medication 5 15 16
of long-stay residents who self-report moderate to severe pain 10 5 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 15 19 18
of long-stay residents whose need for help with daily activities has increased 20 16 15
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 0 2 3
of low risk long-stay residents who lose control of their bowels or bladder 39 41 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 85 86
of short-stay residents who had an outpatient emergency department visit 10 16 13
of short-stay residents who made improvements in function 60 66 65
of short-stay residents who newly received an antipsychotic medication 1 2 2
of short-stay residents who self-report moderate to severe pain 18 17 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98 83 82
of short-stay residents who were rehospitalized after a nursing home admission 16 25 23
of short-stay residents who were successfully discharged to the community 67 57 57
of short-stay residents with pressure ulcers that are new or worsened 0 0 0