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Oak Pavilion Nursing Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 150
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/09/2012

Date of last standard health inspection: 02/09/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in OH: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OH: 0 - 12
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug 02/02/2012 01/09/2001 wrong time) to less than 5%. wrong dose

Inspection, 02/02/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/02/2011 01/09/2001 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 02/02/2011 00/04/2001 Many and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/02/2011 01/09/2001 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2011 01/09/2001 2 Some
Put firmly secured handrails on each side of hallways. 02/02/2011 01/09/2001 2 Some
Provide housekeeping and maintenance services. 02/02/2011 00/04/2001 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2011 00/04/2001 2 Some
Put firmly secured handrails on each side of hallways. 02/02/2011 00/04/2001 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/02/2011 01/09/2001 2 Some
Store 02/02/2011 00/04/2001 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/02/2011 01/09/2001 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/02/2011 01/09/2001 2 Few
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. 02/02/2011 00/04/2001 2 Some
At least once a month 02/02/2011 00/04/2001 Few have a licensed pharmacist review each resident's
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/02/2011 01/09/2001 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 02/02/2011 01/09/2001 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/02/2011 00/04/2001 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 02/02/2011 00/04/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/02/2011 01/09/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/02/2011 01/09/2001 1 Many
Conduct initial and periodic assessments of each resident's functional capacity. 02/02/2011 00/04/2001 2 Few
Develop a complete care plan that meets all the resident's needs 02/02/2011 00/04/2001 Many with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 02/02/2011 00/04/2001 1 Some
Give notice to the resident before a room or roommate change. 02/02/2011 01/09/2001 2 Few
Properly hold 02/02/2011 00/04/2001 and manage each resident's personal money which is secure
Give notice to the resident before a room or roommate change. 02/02/2011 00/04/2001 2 Few

Inspection, 01/09/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe 01/09/2010 01/04/2011 comfortable and home-like environment; and allow r clean
Provide housekeeping and maintenance services. 01/09/2010 01/04/2011 2 Some

Inspection, 02/06/2009

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2009 01/04/2011 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 02/06/2009 01/04/2011 vomiting diarrhea

Inspection, 02/01/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/01/2008 01/00/2010 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/01/2008 01/00/2010 1 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/01/2008 01/00/2010 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide special eating equipment and utensils for each resident who needs them. 02/01/2008 01/00/2010 2 Few
Store, cook, and serve food in a safe and clean way. 02/01/2008 01/00/2010 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/01/2008 01/00/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/01/2008 01/00/2010 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/01/2008 01/00/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/01/2008 01/00/2010 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/01/2008 01/00/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/01/2008 01/00/2010 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/01/2008 01/00/2010 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 02/01/2008 01/00/2010 2 Some
Try to resolve each resident's complaints quickly. 02/01/2008 01/00/2010 2 Some
Provide residents with private access to a telephone. 02/01/2008 01/00/2010 2 Many

Inspection, 00/02/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/02/2007 03/00/2007 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/02/2007 03/00/2007 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/02/2007 03/00/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/07/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/07/2005 03/00/2007 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2005 03/00/2007 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2005 03/00/2007 2 Few

Inspection, 00/09/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/09/2002 02/00/2003 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2002 02/00/2003 2 Some

Inspection, 00/04/2002

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 00/04/2002 01/07/2002 2 Some
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/04/2002 01/07/2002 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/04/2002 01/07/2002 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/05/2001

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/05/2001 01/07/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2001 01/07/2002 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/05/2001 01/07/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/05/2001 01/07/2002 and a family member of situations (injury/decline/ the resident's doctor

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in OH Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 80 104
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 49 minutes 1 hour 20 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 56 minutes 28 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 10 minutes 52 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 33 minutes 1 hour 52 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/08/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/08/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OH: 5
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OH: 0 - 7

Inspection, 01/09/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/09/2011 01/08/2001 2 Few
Portable fire extinguishers. 01/09/2011 01/08/2001 2 Few
Back-up procedures in place for a faulty automatic sprinkler system. 01/09/2011 01/08/2001 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of portable space heaters. 01/09/2011 01/08/2001 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/09/2011 01/08/2001 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/09/2011 01/08/2001 2 Many
Properly installed electrical wiring and equipment. 01/09/2011 03/01/2001 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 01/09/2011 01/08/2001 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 01/09/2011 01/08/2001 2 Some
An approved back-up procedure for a faulty fire alarm system. 01/09/2011 01/08/2001 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 01/09/2011 01/08/2001 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/09/2011 01/08/2001 2 Some
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 01/09/2011 01/08/2001 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/09/2011 01/08/2001 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/09/2011 01/08/2001 2 Many

Inspection, 02/00/2008

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Signs that state that exit doors are to be kept closed. 02/00/2008 01/00/2010 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/00/2008 01/00/2010 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/00/2008 01/00/2010 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/00/2008 01/00/2010 2 Some

Inspection, 00/08/2002

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/08/2002 02/00/2003 2 Many
Properly constructed linen or trash chutes. 00/08/2002 02/00/2003 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/08/2002 02/00/2003 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/08/2002 02/00/2003 2 Many
 

510 Oak Street
Cincinnati, OH 45219

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