CHERITH CARE CENTER AT WILLOW BROOK

Nursing Home Inspector

100 WILLOW BROOK WAY, SOUTH
DELAWARE, OH 43015
Delaware County
Phone: 740-369-0048
Provider Number: 366246
Last Inspection: 07/07/2017

About the Nursing Home

Number of Beds: 34
Number of Residents: 30
Beds Available: 4
Percent Occupancy: 88%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
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

 

0

Facility
13

County
15

OH
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

0

2017
6

2016
0

2015

Medicare Ratings

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

 

Details by Inspection Date

9/8/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/27/2016
 
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 9/27/2016
 

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 30 60.17 77.13
Registered Nurses 0.81 0.80 0.84
Licensed Practical / Vocational Nurses 0.74 0.90 0.92
Certified Nursing Assistants 2.51 2.47 2.24
Total Staff Hours 4.06 4.17 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 2 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 94 94
of long-stay residents experiencing one or more falls with major injury 2 2 3
of long-stay residents who have depressive symptoms 0 20 12
of long-stay residents who lose too much weight 14 9 7
of long-stay residents who received an antianxiety or hypnotic medication 30 24 24
of long-stay residents who received an antipsychotic medication 16 11 16
of long-stay residents who self-report moderate to severe pain 0 5 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 16 18
of long-stay residents whose need for help with daily activities has increased 9 13 15
of long-stay residents with a catheter inserted and left in their bladder 4 2 1
of long-stay residents with a urinary tract infection 3 5 3
of short-stay residents assessed and appropriately given the pneumococcal vaccine 99 53 42
of short-stay residents who had an outpatient emergency department visit 17 86 86
of short-stay residents who made improvements in function 73 19 13
of short-stay residents who newly received an antipsychotic medication 1 63 65
of short-stay residents who self-report moderate to severe pain 5 1 2
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 16 15
of short-stay residents who were rehospitalized after a nursing home admission 16 85 82
of short-stay residents who were successfully discharged to the community 84 16 23
of short-stay residents with pressure ulcers that are new or worsened 2 66 57