VANCREST OF URBANA, INC - URBANA, OH

Submitted by:

Mary Lough, President

Address is Cornerstone Health Care Inc.
DBA Cornersone Home Health and Hospice
212 W. Court St. Urbana, Ohio 43078

Submitted by:

Mary Lough-Pencil, President

Name change is Cornerstone Home Health and Hospice no longer a dba.

Address change 949 N. Main St. Urbana, Ohio 43078
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Address

2380 ST RT 68 S
URBANA, OH, 43078

Phone (make sure to verify first before calling): (937) 653-5291

Number of Certified Beds: 85
Total Number of Residents: 69
Percent of Occupied Beds: 81%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.69
Administrative Staff - Part Time: 1.50
Certified Nurse Aides - Full Time: 30.50
Dietitians - Under Contract: 0.07
Food Service Personnel - Full Time: 12.60
Food Service Personnel - Part Time: 4.20
Housekeeping Personnel - Full Time: 21.54
Licensed Practical/ Vocational Nurses - Full Time: 12.04
Licensed Practical/ Vocational Nurses - Part Time: 1.74
Nurses With Administrative Duties - Full Time: 3.51
Physical Therapists - Under Contract: 0.11
Rn Director Of Nursing - Full Time: 1.03
Social Workers - Full Time: 1.03
Activities Professionals - Full Time: 1.03
Medical Directors - Part Time: 0.14
Occupational Therapists - Under Contract: 0.43
Pharmacists - Under Contract: 0.04
Registered Nurses - Part Time: 1.17
Housekeeping Personnel - Part Time: 6.13
Physical Therapy Aide - Full Time: 2.33

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Offsite To Residents
Dietary Services Are Provided Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Non Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Offsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Non Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	25.0%
State:	14.9%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	27.7%
State:	12.5%

Percent of long-stay high-risk residents with pressure ulcers

Here:	2.4%
State:	6.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	5.6%
Ohio:	7.6%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	14.8%
State:	7.7%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	15.4%
Ohio:	16.2%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	7.4%
Ohio:	3.4%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	86.8%
Ohio:	94.9%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	75.9%
State:	94.8%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	34.8%
Ohio:	26.0%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	87.5%
State:	86.0%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	92.6%
State:	84.9%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	2.9%
State:	2.5%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	17.0%
Ohio:	24.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.460
Ohio:	0.670

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.880
State:	0.885

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.340
Ohio:	1.552

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.030
Ohio:	0.066

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.030
Ohio:	0.069

Complaint Deficiency

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Many (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Potential for minimal harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Some (Minimal harm or potential for actual harm)

1) Hire only people with 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: Few (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm)

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