General Information: CRESTVIEW MANOR, INC
Nursing home name CRESTVIEW MANOR, INC
Address4381 TONAWANDA TRAIL
DAYTON, OH 45430
Phone number (937) 426-5033
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 80
Total number of residents 68
Perc of occupied beds 85
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: CRESTVIEW MANOR, INC
Overall rating 1
1
Nursing Home Staffing 1
1
Registered Nurses only 2
2
Health Inspections 2
2
Quality Measures 2
2
Nursing Home Staffing Info: CRESTVIEW MANOR, INC
National AverageOhio AverageCRESTVIEW MANOR, INC
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 68
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.0 hours 3.52 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.4 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.79 hours 0.64 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.9 hours 0.76 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.31 hours 2.12 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.07 hours 0.01 hours
Health Survey: CRESTVIEW MANOR, INC
Heath Survey Summary on 2014-01-16
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-10-03
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-17
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: CRESTVIEW MANOR, INC
Inspection Results: 01/16/2014
Corrected Deficiency Scope and Severity
02/14/2014 Give residents a notice of rights, rules, services and charges. Isolated/Minimal harm or potential for actual harm
02/14/2014 Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern/Minimal harm or potential for actual harm
02/14/2014 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
02/14/2014 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
02/14/2014 Develop policies and procedures for influenza and pneumococcal immunizations. Isolated/Minimal harm or potential for actual harm
02/14/2014 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
02/14/2014 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Minimal harm or potential for actual harm
02/14/2014 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread/Potential for minimal harm
Inspection Results: 10/03/2012
Corrected Deficiency Scope and Severity
11/07/2012 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Minimal harm or potential for actual harm
11/07/2012 Ensure 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. Isolated/Minimal harm or potential for actual harm
11/07/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
11/07/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
Inspection Results: 06/17/2011
Corrected Deficiency Scope and Severity
08/05/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/05/2011 Try to resolve each resident's complaints quickly. Pattern/Minimal harm or potential for actual harm
08/05/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
08/05/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
08/05/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
08/05/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
08/05/2011 Ensure 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. Isolated/Minimal harm or potential for actual harm
08/05/2011 Develop policies and procedures for influenza and pneumococcal immunizations. Pattern/Potential for minimal harm
08/05/2011 Use a registered nurse at least 8 hours a day, 7 days a week. Widespread /Minimal harm or potential for actual harm
08/05/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
08/05/2011 Have enough backup water supply for essential areas of the nursing home. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: CRESTVIEW MANOR, INC
Fire Safety Survey Summary on 2014-01-15
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-10-03
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-06-14
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: CRESTVIEW MANOR, INC
Fire Safety Survey Results: 01/15/2014
Corrected Deficiency Severity
02/14/2014 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 10/03/2012
Corrected Deficiency Severity
11/07/2012 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Isolated/Minimal harm or potential for actual harm
11/07/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/14/2011
Corrected Deficiency Severity
08/05/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
08/05/2011 Proper stairway enclosures and vertical shafts. Pattern/Minimal harm or potential for actual harm
08/05/2011 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
08/05/2011 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm

Resident Complaints: CRESTVIEW MANOR, INC
Date Complaint Substantiated: 06/11/2013
CorrectedCategoryDeficiencySeverity
07/03/2013Provide timely notification to the resident before transfer or discharge. D

Quality Measures: CRESTVIEW MANOR, INC
Quality Measures National Average Ohio Average CRESTVIEW MANOR, INC
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.3% 12.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 14.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 9.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.4% 4.8%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.6% 58.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 2.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 8.6%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 14.4% 2.5%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.7% 8.9%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 3.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.1% 97.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.2% 98.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.8% 25.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.1% 40.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 0.8%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.9% 84.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 85.2% 87.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 4.0%

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