WESTMORELAND PLACE

The information listed below provides an in-depth look into the type and quality of care offered at Westmoreland Place. 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

WESTMORELAND PLACE
230 CHERRY ST
CHILLICOTHE, OH 45601
(740) 773-6470

Nursing Home Ratings

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

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 139
  • 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:

Frankfort | Waverly | Bainbridge

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 Westmoreland Place. 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: 6-106.9%
ADL Index Range: 0-519.4%
Total Percent:28.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.2%
ADL Index Range: 6-1012.2%
ADL Index Range: 0-54.1%
Total Percent:29.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.1%
ADL Index Range: 6-108.4%
ADL Index Range: 0-53.8%
Total Percent:21.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.1%
ADL Index Range: 6-103.0%
ADL Index Range: 0-51.9%
Total Percent:9.0%
 

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: 15-16
- Signs of depression
0.08%
ADL Index Range: 15-16
- No Signs of depression
2.2%
ADL Index Range: 11-14
- No Signs of depression
0.9%
ADL Index Range: 6-10
- Signs of depression
1.1%
ADL Index Range: 6-10
- No Signs of depression
2.6%
ADL Index Range: 2-5
- No Signs of depression
1.1%
Total Percent:8.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.7%
ADL Index Range: 6-10
- No Signs of depression
1.4%
Total Percent:2.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
1.3%
Total Percent:1.3%
 

Rating Details For Westmoreland Place

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) Hours31 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours51 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 45 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 21 Minutes1 Hour and 50 Minutes
Total Nurse Hours4 Hours and 7 Minutes4 Hours and 11 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 Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%13%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%48%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%18%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight6%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season83%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%24%
Percent of Short-Stay Residents Who Have Pressure Sores17%12%
Percent of Short-Stay Residents Who Have Delirium-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 05/18/2011.

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

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/04/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/04/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/04/2010

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: 11/06/2009
  • Correction Date: 01/04/2010
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: 12/09/2010
  • Correction Date: 01/26/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011
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: 05/18/2011
  • Correction Date: 07/06/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/04/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/04/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 12/09/2010
  • Correction Date: 01/26/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 05/18/2011
  • Correction Date: 07/06/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/18/2011
  • Correction Date: 07/06/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/04/2010
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: 11/06/2009
  • Correction Date: 01/04/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 05/18/2011
  • Correction Date: 07/06/2011

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: 11/06/2009
  • Correction Date: 01/04/2010
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: 05/18/2011
  • Correction Date: 07/06/2011
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/18/2011
  • Correction Date: 07/06/2011

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)05/06/2009$2,340
Civil Money Penalty (CMP)05/06/2009$2,405
Civil Money Penalty (CMP)05/06/2009$2,470
Civil Money Penalty (CMP)11/06/2009$2,990
Civil Money Penalty (CMP)11/06/2009$5,590
Denial of Payment for New Admission (DPNA)05/06/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Westmoreland Place, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/23/2009
  • Correction Date: 07/16/2009

Mistreatment

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: 06/23/2009
  • Correction Date: 07/16/2009

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.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/07/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 10/01/2010
  • Correction Date: 11/01/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 06/23/2009
  • Correction Date: 07/16/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 06/23/2009
  • Correction Date: 07/16/2009

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.
  • Complaint Filed: 05/06/2009
  • Correction Date: 07/16/2009

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 Westmoreland Place 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 05/18/2011.

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: 11/06/2009
  • Correction Date: 01/07/2010
Properly Working Sprinkler Alarm System.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/07/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/22/2010
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011
Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/07/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/07/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/22/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/22/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/07/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/07/2010
Fire-Resistant Interior Walls.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/07/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 12/08/2010
  • Correction Date: 01/26/2011

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 11/06/2009
  • Correction Date: 01/07/2010
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011