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Edgewood Manor Of Westerville

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About Edgewood Manor Of Westerville

General Information

Legal Business NameWesterville Facility Operations, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 29, 1993 (23 years)
Capacity70
Residents56
Percent Occupied80%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Edgewood Manor Of Westerville

Edgewood Manor Of Westerville
was reviewed by Medicare to have a rating of 1 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

June 23, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
FManyPotential for HarmComplaintEmploy staff that are licensed, certified, or registered in accordance with state laws.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmComplaintProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.

February 11, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

January 22, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
GFewActual HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
GFewActual HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.

December 29, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

December 22, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,194 fine
---Fine$2,194 fine
ESomePotential for HarmComplaint1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.

October 29, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

June 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

April 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide a tasty and well-balanced diet that meets the nutritional needs of each resident.
DFewPotential for HarmComplaintEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmComplaintProvide housekeeping and maintenance services.

February 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintGive notice to the resident before a room or roommate change.

December 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.

October 21, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

July 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintLet each resident or the resident's legal representative access or purchase copies of all the resident's records.

May 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide food in a way that meets a resident's needs.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

April 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Edgewood Manor Of Westerville 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.

1hr 30min
2hr 20min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
50min
1hr 15min
ReportedExpected
RN
3hr 15min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

68.0%
94.2%
94.2%
94.2%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.6%
95.7%
90.7%
78.0%
95.4%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
38.1%
-
48.0%
42.9%
42.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
29.5%
32.6%
29.4%
25.5%
24.8%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antianxiety or hypnotic medication
2.6%
11.4%
10.4%
5.5%
18.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose ability to move independently worsened
22.0%
23.7%
21.7%
20.0%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antipsychotic medication
16.7%
10.3%
8.7%
14.6%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose need for help with daily activities has increased
16.4%
21.8%
24.5%
18.8%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who self-report moderate to severe pain
14.3%
17.4%
9.3%
10.0%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who lose too much weight
8.8%
3.2%
5.9%
5.9%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of high risk long-stay residents with pressure ulcers
8.7%
2.3%
2.3%
2.4%
12.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who have depressive symptoms
2.0%
0.0%
1.9%
2.0%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a urinary tract infection
4.1%
6.5%
3.7%
6.0%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents experiencing one or more falls with major injury
4.5%
4.0%
1.7%
2.1%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

55.3%
62.7%
62.0%
47.8%
85.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.6%
64.0%
64.0%
64.0%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
62.9%
63.9%
86.6%
87.3%
62.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who made improvements in function
31.2%
28.6%
32.1%
37.0%
17.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
2.2%
2.2%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who newly received an antipsychotic medication
1.4%
0.0%
0.0%
1.3%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents with pressure ulcers that are new or worsened