11 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Lebanon, OH
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
115 Oregonia Road, Lebanon, OH
(513) 932-1121
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
83
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cch Healthcare
Operator or chain grouping
Approved since
1986-12-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.91
Registered nurse staffing
LPN hours / resident day
1.19
Licensed practical nurse staffing
Aide hours / resident day
2.25
Nurse aide staffing
Weekend hours
3.42
Weekend nurse staffing
RN turnover
61%
Annual RN turnover
Total nurse turnover
57%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.8
0.6 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
92.4%
6.7 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.3%
1.1 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 23.5% |
26.1%
2.6 pts better
|
11.4%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 7.3% |
6.2%
1.1 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.3% |
25.4%
16.9 pts worse
|
19.6%
22.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.9% |
11.5%
0.4 pts worse
|
16.7%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.9% |
0.1%
0.8 pts worse
|
0.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.4% |
7.7%
2.7 pts worse
|
16.3%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.7% |
6.2%
1.5 pts better
|
14.9%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
0.5%
0.1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% |
21.7%
2.5 pts worse
|
19.8%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
3.7%
3.4 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.7% |
78.1%
12.6 pts better
|
81.7%
9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.6% |
12.5%
6.1 pts worse
|
12.0%
6.6 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.1% |
75.6%
12.5 pts better
|
79.7%
8.4 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.6% |
25.1%
6.5 pts better
|
23.9%
5.3 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Administration (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-16
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-16
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-05-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-05-16
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-05-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-09
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-08-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-09
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-08-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-09
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-08-09
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-09
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-08-09
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-09
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-09
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-05-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-03-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-03-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-03-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-03-06
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-03-06
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-03-06
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-03-06
Fire Safety
Have proper power supply for life support equipment.
Corrected 2020-03-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-03-06
Inspection history
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-16
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-05-16
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-16
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2024-05-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-16
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-05-16
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-16
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2024-05-16
Health
Post nurse staffing information every day.
Corrected 2024-05-16
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-12-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-02
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2023-12-02
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-09
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2023-08-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-09
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-08-09
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2020-03-06
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-03-06
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2020-03-06
Penalties and ownership
Payment Denial · denial start 2024-05-10 · 6 days
6 day denial
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Security Interest · Organization
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Nearby options
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