ST. MARGARET HALL INC

The information listed below provides an in-depth look into the type and quality of care offered at St. Margaret Hall Inc. 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

ST. MARGARET HALL INC
1960 MADISON ROAD
CINCINNATI, OH 45206
(513) 751-5880

Nursing Home Ratings

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

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 88
  • Certified Beds: 99

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not 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 "Very 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 St. Margaret Hall Inc. 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: 11-162.5%
ADL Index Range: 6-1011.3%
ADL Index Range: 0-516.9%
Total Percent:30.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.6%
ADL Index Range: 6-1022.5%
ADL Index Range: 0-522.2%
Total Percent:46.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.9%
ADL Index Range: 6-109.1%
ADL Index Range: 0-55.9%
Total Percent:16.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.2%
ADL Index Range: 0-52.8%
Total Percent:5.0%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.9%
Total Percent:0.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Rating Details For St. Margaret Hall Inc

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) Hours1 Hour59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 50 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 54 Minutes1 Hour and 35 Minutes
Total Nurse Hours4 Hours and 44 Minutes3 Hours and 58 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 Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%5%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%18%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder69%48%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain21%24%
Percent of Short-Stay Residents Who Have Pressure Sores14%12%

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 10/15/2010.

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

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: 05/22/2008
  • Correction Date: 07/09/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/22/2008
  • Correction Date: 07/09/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 05/22/2008
  • Correction Date: 07/09/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/09/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/12/2010

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 05/22/2008
  • Correction Date: 07/09/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 07/24/2009
  • Correction Date: 09/09/2009

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)08/06/2008$2,210

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. Margaret Hall Inc, 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: 08/06/2008
  • Correction Date: 09/16/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/15/2008
  • Correction Date: 05/19/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/06/2008
  • Correction Date: 09/16/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 08/06/2008
  • Correction Date: 09/16/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Complaint Filed: 08/06/2008
  • Correction Date: 09/16/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/23/2010
  • Correction Date: 10/15/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/23/2010
  • Correction Date: 10/15/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 09/23/2010
  • Correction Date: 10/15/2010

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.
  • Complaint Filed: 09/23/2010
  • Correction Date: 10/15/2010

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 St. Margaret Hall Inc 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 10/15/2010.

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: 05/19/2008
  • Correction Date: 07/09/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/19/2008
  • Correction Date: 07/09/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 05/19/2008
  • Correction Date: 07/09/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/21/2009
  • Correction Date: 09/09/2009

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 10/15/2010
  • Correction Date: 11/12/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 05/19/2008
  • Correction Date: 07/09/2008
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011