THE REHABILITATION & NURSING CENTER AT ELM CREEK

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 "Medium 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 The Rehabilitation & Nursing Center at Elm Creek. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 05/27/2011.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/12/2010 Correction Date: 04/21/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/12/2010 Correction Date: 04/21/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 01/30/2009 Correction Date: 03/19/2009

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/30/2009 Correction Date: 03/19/2009

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: 01/30/2009 Correction Date: 03/19/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
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: 03/12/2010 Correction Date: 04/21/2010

Quality Care

Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Give or Get Dental Care for Each Resident. Inspection Date: 03/12/2010 Correction Date: 04/21/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/27/2011 Correction Date: 07/11/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
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: 01/30/2009 Correction Date: 03/19/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/12/2010 Correction Date: 04/21/2010
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: 03/12/2010 Correction Date: 04/21/2010

Resident Rights

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: 01/30/2009 Correction Date: 03/19/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 01/30/2009 Correction Date: 03/19/2009
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 01/30/2009 Correction Date: 03/19/2009

The table below lists incident reports by the nursing staff or administration for The Rehabilitation & Nursing Center at Elm Creek, as well as complaints by residents or their family in the previous three years.

Administration

Have Licensed, Certified, or Registered Staff to Give Needed Services. Complaint Filed: 01/30/2009 Correction Date: 03/19/2009

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: 12/09/2009 Correction Date: 12/29/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 12/09/2009 Correction Date: 12/29/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 07/16/2010 Correction Date: 08/10/2010
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: 07/16/2010 Correction Date: 08/10/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 10/28/2008 Correction Date: 11/10/2008
Give or Get Dental Care for Each Resident. Complaint Filed: 10/28/2008 Correction Date: 11/10/2008

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Complaint Filed: 10/28/2008 Correction Date: 11/10/2008

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 The Rehabilitation & Nursing Center at Elm Creek 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 05/25/2011.

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/27/2009 Correction Date: 03/19/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/25/2011 Correction Date: 07/11/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 05/25/2011 Correction Date: 07/11/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/10/2010 Correction Date: 04/21/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/25/2011 Correction Date: 07/11/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 05/25/2011 Correction Date: 07/11/2011
Properly Located and Lighted "Exit" Signs. Inspection Date: 05/25/2011 Correction Date: 07/11/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/25/2011 Correction Date: 07/11/2011