MERCY FRANCISCAN TERRACE - CINCINNATI, OH

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MERCY FRANCISCAN TERRACE
100 COMPTON ROAD
CINCINNATI, OH, 45215

Phone (make sure to verify first before calling): (513) 761-9036

Number of Certified Beds: 124
Total Number of Residents: 100
Percent of Occupied Beds: 81%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 5.39
Certified Nurse Aides - Full Time: 46.13
Certified Nurse Aides - Part Time: 4.63
Housekeeping Personnel - Full Time: 9.74
Licensed Practical/ Vocational Nurses - Full Time: 16.07
Licensed Practical/ Vocational Nurses - Part Time: 0.80
Nurses With Administrative Duties - Full Time: 4.39
Registered Nurses - Full Time: 7.33
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 0.57
Medical Directors - Part Time: 0.11
Occupational Therapists - Part Time: 1.01
Physical Therapists - Part Time: 0.64
Sppech Pathologists - Full Time: 0.26
Registered Nurses - Part Time: 1.49
Housekeeping Personnel - Part Time: 0.57
Physical Therapists - Full Time: 0.70
Occupational Therapy Assistants - Full Time: 0.87
Physical Therapy Aide - Full Time: 1.10

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 Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Offsite 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 Onsite To Residents
Physical Therapy Services Are Provided Onsite 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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.590
Ohio:	0.666

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

This Nursing Home:	1.090
State:	0.911

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.680
Ohio:	1.576

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	2.500
Ohio:	2.362

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

This Nursing Home:	100.0%
Ohio:	90.9%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	100.0%
State:	88.1%

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

This Nursing Home:	5.0%
State:	12.2%

Percent of long-stay residents who have moderate to severe pain

Here:	1.0%
State:	4.6%

Percent of high-risk long-stay residents who have pressure sores

This Nursing Home:	19.0%
State:	9.9%

Percent of long-stay residents who are more depressed or anxious

Here:	13.0%
State:	17.1%

Percent of low-risk long-stay residents who lose control of their bowels or bladder

Here:	53.0%
Ohio:	48.0%

Percent of long-stay residents who have/had a catheter inserted and left in their bladder

Here:	1.0%
State:	5.8%

Percent of long-stay residents who spend most of their time in bed or in a chair

This Nursing Home:	1.0%
State:	4.1%

Percent of long-stay residents whose ability to move about in and around their room got worse

This Nursing Home:	7.0%
Ohio:	9.6%

Percent of long-stay residents who had a urinary tract infection

Here:	7.0%
State:	10.6%

Percent of long-stay residents who lose too much weight

Here:	6.0%
Ohio:	7.4%

Percent of short-stay residents given influenza vaccination during the flu season

This Nursing Home:	100.0%
Ohio:	84.4%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

Here:	100.0%
Ohio:	81.5%

Percent of short-stay residents who had moderate to severe pain

This Nursing Home:	22.0%
Ohio:	23.2%

Percent of short-stay residents who have pressure sores

This Nursing Home:	19.0%
State:	11.2%

Complaint Deficiency

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary: Isolated (Minimal harm or potential for actual harm)

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene: Isolated (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Isolated (Minimal harm or potential for actual harm)

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: Pattern (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Pattern (Minimal harm or potential for actual harm)

Set up or keep a group of people to review and ensure quality: Pattern (Minimal harm or potential for actual harm)

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: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Isolated (Minimal harm or potential for actual harm)

Send and promptly deliver unopened mail to residents: Pattern (Potential for minimal harm)

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