SOUTHERN HILLS HEALTH AND REHA - MIDDLEBURG HEIGHTS, OH

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SOUTHERN HILLS HEALTH AND REHA
19530 BAGLEY ROAD
MIDDLEBURG HEIGHTS, OH, 44130

Phone (make sure to verify first before calling): (440) 816-7500

Number of Certified Beds: 99
Total Number of Residents: 81
Percent of Occupied Beds: 82%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
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: 1 Star
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 1 Star
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 8.86
Administrative Staff - Part Time: 1.19
Certified Nurse Aides - Full Time: 31.56
Certified Nurse Aides - Part Time: 7.23
Food Service Personnel - Full Time: 5.99
Food Service Personnel - Part Time: 1.96
Housekeeping Personnel - Full Time: 7.39
Licensed Practical/ Vocational Nurses - Full Time: 11.50
Licensed Practical/ Vocational Nurses - Part Time: 1.40
Nurses With Administrative Duties - Full Time: 2.43
Registered Nurses - Full Time: 6.50
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 2.11
Physical Therapists - Part Time: 0.87
Physician Extenders - Under Contract: 0.11
Sppech Pathologists - Full Time: 0.81
Registered Nurses - Part Time: 0.09
Social Workers - Part Time: 0.70
Housekeeping Personnel - Part Time: 1.10
Occupational Therapists - Full Time: 0.89
Physical Therapists - Full Time: 0.76
Occupational Therapy Assistants - Part Time: 0.44
Speech Pathologists - Part Time: 0.24

Provided Services

Activities Services Are Provided Onsite To Residents
Administration And Storage Of Blood Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To 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 Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Therapeutic Recrecation Specialist Services Are Provided Offsite To Residents
Vocational Services Are Provided Offsite To Residents

Quality Measures

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

Here:	97.0%
State:	90.9%

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

Here:	100.0%
State:	88.1%

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

Here:	9.0%
State:	12.2%

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

Here:	9.0%
State:	4.6%

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

This Nursing Home:	12.0%
State:	9.9%

Percent of long-stay residents who were physically restrained

Here:	8.0%
Ohio:	3.5%

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

This Nursing Home:	19.0%
State:	17.1%

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

This Nursing Home:	38.0%
Ohio:	48.0%

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

This Nursing Home:	10.0%
Ohio:	5.8%

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

This Nursing Home:	8.0%
Ohio:	4.1%

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

Here:	8.0%
Ohio:	9.6%

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

Here:	27.0%
Ohio:	10.6%

Percent of long-stay residents who lose too much weight

This Nursing Home:	15.0%
Ohio:	7.4%

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

This Nursing Home:	94.0%
State:	84.4%

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

This Nursing Home:	98.0%
State:	81.5%

Percent of short-stay residents who have delirium

Here:	4.0%
Ohio:	1.3%

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

Here:	40.0%
Ohio:	23.2%

Percent of short-stay residents who have pressure sores

This Nursing Home:	10.0%
State:	11.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.020
State:	0.666

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

Here:	0.660
State:	0.911

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.680
Ohio:	1.576

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	2.270
State:	2.362

Complaint Deficiency

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: Isolated (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, unless it is necessary: Isolated (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Pattern (Minimal harm or potential for actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Isolated (Minimal harm or potential for actual harm)

Keep accurate and appropriate medical records: 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)

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: Pattern (Minimal harm or potential for actual harm)

Provide social services for related medical problems to help each resident achieve the highest possible quality of life: Isolated (Minimal harm or potential for actual harm)

Make a complete assessment that covers all questions for areas that are listed in official regulations: 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)

Protect the resident from a transfer or discharge that is not wanted or needed: Isolated (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Isolated (Minimal harm or potential for actual harm)

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