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Otterbein Portage Valley
20311 PEMBERVILLE RD
Pemberville, OH 43450
(419) 833-7000
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 50 |
| Number of Residents: | 45 |
| Percent of Occupied Beds: | 90% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Church related |
| 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 |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20081204 | Health | Resident Rights Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20090105 |
| 20081204 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm | 20090105 |
| 20090428 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20090528 |
| 20090428 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20090528 |
| 20090428 | Health | Resident Rights Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20090528 |
| 20100928 | Health | Mistreatment Deficiencies | 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 | 20100929 |
| 20100928 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20100929 |
| 20100928 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100928 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 100 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 6 | |
| Percent of long-stay residents who have moderate to severe pain: | 0 | |
| Percent of high-risk long-stay residents who have pressure sores: | 10 | |
| Percent of low-risk long-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 29 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 64 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 3 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 6 | |
| Percent of long-stay residents who had a urinary tract infection: | 10 | |
| Percent of long-stay residents who lose too much weight: | 6 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 94 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 91 | |
| Percent of short-stay residents who have delirium: | 2 | |
| Percent of short-stay residents who had moderate to severe pain: | 15 | |
| Percent of short-stay residents who have pressure sores: | 5 | |
| # of Residents: | 45 |
| # RN Hours per Resident: | 0.7 |
| # LPN Hours per Resident: | 0.9 |
| # CNA Hours per Resident: | 2.3 |
| Total Staff Hours per Resident: | 1.6 |
