OAK PAVILION NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Oak Pavilion Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

OAK PAVILION NURSING CENTER
510 OAK STREET
CINCINNATI, OH 45219
(513) 751-0880

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

73%

Number of Residents and Certified Beds

  • Residents: 110
  • Certified Beds: 150

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Norwood | Cheviot | Milford

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Oak Pavilion Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1615.3%
ADL Index Range: 6-1023.3%
ADL Index Range: 0-522.2%
Total Percent:60.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.6%
ADL Index Range: 6-1010.0%
ADL Index Range: 0-55.7%
Total Percent:24.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.2%
ADL Index Range: 6-104.4%
Total Percent:4.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.2%
ADL Index Range: 6-102.7%
ADL Index Range: 0-54.6%
Total Percent:8.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
1.5%
Total Percent:1.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
0.1%
Total Percent:0.1%
 

Rating Details For Oak Pavilion Nursing Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours21 Minutes1 Hour and 23 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 7 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 9 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 28 Minutes2 Hours and 8 Minutes
Total Nurse Hours3 Hours and 37 Minutes4 Hours and 32 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Ohio are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOhio Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination68%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season65%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%10%
Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious19%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%48%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%11%
Percent of Long-Stay Residents Who Were Physically Restrained3%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination56%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season62%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain22%24%
Percent of Short-Stay Residents Who Have Pressure Sores11%12%
Percent of Short-Stay Residents Who Have Delirium2%3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/22/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009

Nutrition and Dietary

Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 06/26/2008
  • Correction Date: 09/26/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 06/26/2008
  • Correction Date: 10/03/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 06/26/2008
  • Correction Date: 10/03/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/26/2008
  • Correction Date: 09/26/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/26/2008
  • Correction Date: 09/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 06/26/2008
  • Correction Date: 09/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 06/26/2008
  • Correction Date: 09/26/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009
Have a Private Telephone Available for Use.
  • Inspection Date: 08/21/2009
  • Correction Date: 10/10/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)11/22/2010$2,210

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Oak Pavilion Nursing Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/07/2010
  • Correction Date: 07/30/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/03/2009
  • Correction Date: 03/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/07/2010
  • Correction Date: 07/30/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/02/2010
  • Correction Date: 07/30/2010
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Put Firmly Secured Handrails on Each Side of Hallways.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 07/31/2008
  • Correction Date: 09/26/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 07/31/2008
  • Correction Date: 09/26/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 07/02/2010
  • Correction Date: 07/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 12/22/2010
  • Correction Date: 01/19/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 01/25/2011
  • Correction Date: 02/17/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/07/2010
  • Correction Date: 07/30/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 01/25/2011
  • Correction Date: 02/17/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/25/2011
  • Correction Date: 02/17/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 02/04/2011
  • Correction Date: 02/17/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 02/04/2011
  • Correction Date: 02/17/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011

Resident Rights

Let the Resident or the Resident's Representative Look at All Records.
  • Complaint Filed: 02/03/2009
  • Correction Date: 03/23/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/02/2010
  • Correction Date: 07/30/2010
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Complaint Filed: 11/22/2010
  • Correction Date: 01/04/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 01/25/2011
  • Correction Date: 02/17/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 02/04/2011
  • Correction Date: 02/17/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Oak Pavilion Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/19/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011
Portable Fire Extinguishers.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Building Service Equipment

Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 06/23/2008
  • Correction Date: 09/15/2008
Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 06/23/2008
  • Correction Date: 09/15/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/23/2008
  • Correction Date: 09/15/2008
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/10/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/23/2008
  • Correction Date: 09/15/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/10/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/31/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/10/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/23/2008
  • Correction Date: 09/15/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/20/2009
  • Correction Date: 10/10/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 11/19/2010
  • Correction Date: 01/18/2011
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011