State Trends-SNF

LeadingAge Nursing Home State Trend Report for OH

SNF Information for OH

This section contains various trend charts with pertinent SNF data in the state and ownership types in the state.

SNF Counts

Rural SNF Count

Urban SNF Count

Bed Counts

Resident Counts

Percentage Filled Beds

CCRC

In Hospital

Certification - Medicare

Certification - Medicaid

Certification - Medicare and Medicaid

Change of Ownership During Last 12 Months

Abuse Icon

Resident Council Only

Family Council Only

Resident and Family Council

No Resident and/or Family Council

5 Star Ratings

An overall 5 Star rating is assigned to a provider based on the results of each of three domains: health inspection (survey), staffing, and quality measures (i.e., long stay, short stay, and combined). The following time series analyses are provided for each of the 5 Star ratings comparing state, nation, and each ownership type in the respective state.

5 Star Ratings - Overall

5 Star Ratings - Health Inspection

5 Star Ratings - Staffing

5 Star Ratings - Quality

5 Star Ratings - Quality Short Stay

5 Star Ratings - Quality Long Stay

Health Inspection

The health inspection rating is based on the 2 most recent surveys and complaint and/or infection control deficiencies from the most recent 36 months. The most recent and weighted the heaviest is survey cycle 1. The following charts and time series analyses focus on results of survey cycle 1 including complaint and/or infection control deficiencies from the most recent 12 months.

Top 10 Health Deficiencies from Survey Cycle 1

Tag	Description	Count
0880	Provide and implement an infection prevention and control program.	517
0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	402
0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	393
0684	Provide appropriate treatment and care according to orders, residentâ€™s preferences and goals.	360
0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	278
0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	234
0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	227
0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	197
0695	Provide safe and appropriate respiratory care for a resident when needed.	194
0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	191

Health Deficiency Summary from Survey Cycle 1

	For profit	Government	Non profit
SNF Count	773	14	137
Bed Count	69,895	1,685	10,186
Resident Count	57,570	1,173	8,623
Freedom from Abuse, Neglect, and Exploitation Deficiencies	453	7	52
Administration Deficiencies	256	1	21
Resident Assessment and Care Planning Deficiencies	879	13	117
Environmental Deficiencies	300	4	29
Nursing and Physician Services Deficiencies	225	1	24
Nutrition and Dietary Deficiencies	745	11	129
Pharmacy Service Deficiencies	911	11	141
Quality of Life and Care Deficiencies	2,375	32	299
Resident Rights Deficiencies	1,170	20	146
Infection Control Deficiencies	667	2	98
Total Health Deficiencies	7,981	102	1,056

Old Survey - Most Recent Health Inspection More Than 2 Years Ago

Scope and Severity of Health Deficiencies from Survey Cycle 1

Severity	Ownership	Scope
Severity	Ownership	Isolated		Pattern		Widespread
Immediate jeopardy to resident health or safety	For profit	J	54	K	5	L	4
	Government		0		0		0
	Non profit		2		0		1
Actual harm that is not immediate jeopardy	For profit	G	183	H	0	I	0
	Government		2		0		0
	Non profit		30		0		0
No actual harm with potential for more than minimal harm that is not immediate jeopardy	For profit	D	5,208	E	1,059	F	817
	Government		77		13		7
	Non profit		714		123		111
No actual harm with potential for minimal harm	For profit	A	0	B	36	C	130
	Government		0		0		0
	Non profit		0		8		20

Fines

Fire Safety

This section contains a summary of the fire safety deficiencies from survey cycle 1 and fire safety deficiencies that are also complaint and/or infection control deficiencies from the most recent 12 months.

Top 10 Fire Safety Deficiencies from Survey Cycle 1

Tag	Description	Count
0353	Inspect, test, and maintain automatic sprinkler systems.	527
0345	Have approved installation, maintenance and testing program for fire alarm systems.	402
0918	Have generator or other power source capable of supplying service within 10 seconds.	381
0324	Provide properly protected cooking facilities.	279
0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	278
0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	278
0511	Have properly installed electrical wiring and gas equipment.	248
0712	Have simulated fire drills held at unexpected times.	248
0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	237
0920	Ensure proper usage of power strips and extension cords.	206

Fire Safety Summary from Survey Cycle 1

	For profit	Government	Non profit
SNF Count	773	14	137
Bed Count	69,895	1,685	10,186
Resident Count	57,570	1,173	8,623
Construction Deficiencies	84	1	17
Corridor Walls and Doors Deficiencies	0	0	0
Egress Deficiencies	730	9	107
Electrical Deficiencies	0	0	0
Emergency Plans and Fire Drills Deficiencies	0	0	0
Emergency Preparedness Deficiencies	231	3	31
Fire Alarm Systems Deficiencies	0	0	0
Gas, Vacuum, and Electrical Systems	846	12	125
Hazardous Area Deficiencies	0	0	0
Illumination and Emergency Power Deficiencies	0	0	0
Interior Deficiencies	0	0	0
Laboratories Deficiencies	0	0	0
Medical Gases and Anesthetizing Areas Deficiencies	0	0	0
Miscellaneous Deficiencies	799	12	94
Services Deficiencies	453	5	57
Smoke Deficiencies	1,962	41	331
Smoking Regulations Deficiencies	0	0	0
Automatic Sprinkler Systems Deficiencies	0	0	0
Total Fire Safety Deficiencies	5,105	83	762

Adjusted Staff Hours

Adjusted Staff Hours per resident day is case mix adjusted. The following time series analyses display the case mix adjusted hours for daily RN and Total Nurse staffing (RN + LPN + nurse aide), and weekend Total Nurse staffing while comparing the state, the ownership types in the state, and the nation.

RN Staffing

Total Nurse Staffing

Weekend Total Nurse Staffing

Staffing Turnover

The following time series analyses display the turnover percentages for RN and Total Nurse staffing (RN + LPN + nurse aide) and the turnover counts for Nursing Home Administrators while comparing the state, the ownership types in the state, and the nation.

RN Turnover Percentage

Total Nurse Turnover Percentage

Administrator Turnover Count

Quality Measures

The Quality Measure 5 Star rating is based on a subset of the QMs currently posted on Care Compare. The following time series analyses displays each of the quality measures and compares average rates for the state, ownership types in the state, and the nation. Colored labels indicate whether the measure is a long-stay or short-stay measure, if it is MDS-based or claims-based, whether it is used in the Skilled Nursing Facility Quality Reporting Program (QRP), whether a higher rate is better, and if the measure is used in the 5 Star ratings.

LS_ADLs Long Stay MDS Five Star Measure

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

LS_Ambulation Long Stay MDS Five Star Measure

Percentage of long-stay residents whose ability to walk independently worsened

LS_AntiAnxiety Long Stay MDS

Percentage of long-stay residents who received an antianxiety or hypnotic medication

LS_AntiPsych Long Stay MDS Five Star Measure

Percentage of long-stay residents who received an antipsychotic medication

LS_Catheter Long Stay MDS Five Star Measure

Percentage of long-stay residents with a catheter inserted and left in their bladder

LS_Depression Long Stay MDS

Percentage of long-stay residents who have depressive symptoms

LS_EDvisitsPer1000Days Long Stay Claims Five Star Measure

Number of outpatient emergency department visits per 1000 long-stay resident days

LS_Falls Long Stay MDS Five Star Measure

Percentage of long-stay residents experiencing one or more falls with major injury

LS_Flu Long Stay MDS Higher is Better

Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine

LS_HospPer1000Days Long Stay Claims Five Star Measure

Number of hospitalizations per 1000 long-stay resident days

LS_NewWorseningIncont Long Stay MDS

Percentage of long-stay residents with new or worsened bowel or bladder incontinence

LS_Pneumo Long Stay MDS Higher is Better

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine

LS_PU Long Stay MDS Five Star Measure

Percentage of long-stay residents with pressure ulcers

LS_Restraints Long Stay MDS

Percentage of long-stay residents who were physically restrained

LS_UTI Long Stay MDS Five Star Measure

Percentage of long-stay residents with a urinary tract infection

LS_WeightLoss Long Stay MDS

Percentage of long-stay residents who lose too much weight

QRP_FallsMajorInjury Short Stay QRP

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay

QRP_HospitalReadmission Short Stay QRP

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF

QRP_MedsManaged Short Stay QRP Higher is Better

Percentage of SNF residents whose medications were reviewed and who received follow-up care when medication issues were identified

QRP_MoveAtDischarge Short Stay QRP Higher is Better

Percentage of residents who are at or above an expected ability to move around at discharge

QRP_MSPB Short Stay QRP

The Medicare Spending Per Beneficiary (MSPB) for residents in SNFs

QRP_SelfCareAtDischarge Short Stay QRP Higher is Better

Percentage of residents who are at or above an expected ability to care for themselves at discharge

QRP_SS_PU Short Stay QRP Five Star Measure

Percentage of residents with pressure ulcers/pressure injuries that are new or worsened

QRP_SS_ReturnToComm Short Stay QRP Five Star Measure Higher is Better

Rate of successful return to home and community from a SNF

SS_AntiPsych Short Stay MDS Five Star Measure

Percentage of short-stay residents who newly received an antipsychotic medication

SS_DischargeFXScore Short Stay QRP Five Star Measure Higher is Better

Discharge Function Score

SS_EDvisit Short Stay Claims Five Star Measure

Percentage of short-stay residents who had an outpatient emergency department visit

SS_Flu Short Stay MDS Higher is Better

Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine

SS_HAI Short Stay QRP

Rate of healthcare associated infections acquired during the SNF stay that resulted in hospitalization

SS_PersonnelCovidVacc Short Stay QRP Higher is Better

Percentage of SNF healthcare personnel who are up to date with their COVID-19 vaccines

SS_PersonnelFluVacc Short Stay QRP Higher is Better

Percentage of healthcare personnel who got a flu shot for the current season

SS_Pneumo Short Stay MDS Higher is Better

Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine

SS_Rehosp Short Stay Claims Five Star Measure

Percentage of short-stay residents who were rehospitalized after a nursing home admission

Optimal Printing

LeadingAge Nursing Home State Trend Report for OH