REHAB PAVILION AT THE WEILS

Nursing Home Inspector

16695 CHILLICOTHE ROAD
CHAGRIN FALLS, OH 44023
Geauga County
Phone: 440-543-4221
Provider Number: 366379
Last Inspection: 02/23/2017

About the Nursing Home

Number of Beds: 29
Number of Residents: 24
Beds Available: 5
Percent Occupancy: 83%
Insurance Accepted: Medicare
Types of Councils: None
Ownership: For profit - Individual
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

 

4

Facility
6

County
15

OH
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

4

2017
13

2015
12

2014

Medicare Ratings

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

 

Details by Inspection Date

2/23/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 3/23/2017
 

11/10/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Widespread : Potential 4 12/14/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 12/14/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/14/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/14/2015
 

8/14/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 9/15/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/15/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/15/2014
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/15/2014
 

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 24 76.38 77.13
Registered Nurses 1.78 1.03 0.84
Licensed Practical / Vocational Nurses 1.21 0.99 0.92
Certified Nursing Assistants 2.64 2.42 2.24
Total Staff Hours 5.63 4.44 3.99

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% OH State Avg%
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 4 5
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 98 95
of short-stay residents who had an outpatient emergency department visit 12 97 94
of short-stay residents who made improvements in function 63 4 3
of short-stay residents who newly received an antipsychotic medication 1 24 12
of short-stay residents who self-report moderate to severe pain 23 5 7
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 25 24
of short-stay residents who were rehospitalized after a nursing home admission 26 11 16
of short-stay residents who were successfully discharged to the community 74 4 5
of short-stay residents with pressure ulcers that are new or worsened 1 0 0