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Diversicare Of St Theresa

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About Diversicare Of St Theresa

General Information

Legal Business NameDiversicare Of St Theresa LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 17, 1994 (23 years)
Capacity100
Residents88
Percent Occupied88%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Diversicare Of St Theresa

Diversicare Of St Theresa
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Ohio Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 8, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

November 4, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

September 29, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

September 15, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.

June 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
DFewPotential for HarmHealth InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

June 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

March 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Diversicare Of St Theresa require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr
2hr 20min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
50min
1hr 15min
ReportedExpected
RN
3hr 45min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
95.5%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
95.3%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Pneumococcal Vaccine
53.1%
56.7%
54.5%
41.1%
Q1 2015Q2 2015Q3 2015OH
Low Risk Residents Who Lose Control of Their Bowel or Bladder
33.3%
22.2%
10.0%
20.6%
Q1 2015Q2 2015Q3 2015OH
Received an Antipsychotic Medication
14.1%
15.6%
27.1%
15.1%
Q1 2015Q2 2015Q3 2015OH
Need for Help with ADLs has Increased
7.3%
14.1%
9.7%
8.2%
Q1 2015Q2 2015Q3 2015OH
Self Report Moderate to Severe Pain
11.5%
9.6%
8.2%
7.8%
Q1 2015Q2 2015Q3 2015OH
Lose Too Much Weight
7.5%
4.3%
4.1%
5.7%
Q1 2015Q2 2015Q3 2015OH
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
12.3%
Q1 2015Q2 2015Q3 2015OH
Have Depressive Symptoms
11.5%
8.2%
8.2%
5.0%
Q1 2015Q2 2015Q3 2015OH
With a Urinary Tract Infection
0.0%
2.7%
4.1%
3.4%
Q1 2015Q2 2015Q3 2015OH
Experiencing One or More Falls with Major Injury
1.4%
0.0%
0.0%
3.0%
Q1 2015Q2 2015Q3 2015OH
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.9%
Q1 2015Q2 2015Q3 2015OH
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
98.9%
99.0%
86.0%
Q1 2015Q2 2015Q3 2015OH
Assessed and Appropriately Given the Pneumococcal Vaccine
96.6%
94.4%
94.4%
84.2%
Q1 2015Q2 2015Q3 2015OH
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
15.9%
21.2%
12.9%
20.1%
Q1 2015Q2 2015Q3 2015OH
Self Report Moderate to Severe Pain
1.6%
0.0%
0.0%
2.3%
Q1 2015Q2 2015Q3 2015OH
Newly Received an Antipsychotic Medication
0.7%
0.0%
0.9%
1.1%
Q1 2015Q2 2015Q3 2015OH
With Pressure Ulcers That Are New or Worsened