General Information: LAURELS OF WEST CARROLLTON THE
Nursing home name LAURELS OF WEST CARROLLTON THE
Address115 ELMWOOD CIRCLE
WEST CARROLLTON, OH 45449
Phone number (937) 866-3814
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 Both
Certified number of beds 96
Total number of residents 63
Perc of occupied beds 65
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: LAURELS OF WEST CARROLLTON THE
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 2
2
Quality Measures 2
2
Nursing Home Staffing Info: LAURELS OF WEST CARROLLTON THE
National AverageOhio AverageLAURELS OF WEST CARROLLTON THE
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 63
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.0 hours 3.7 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.56 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.79 hours 0.69 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.9 hours 0.87 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.31 hours 2.13 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.07 hours 0.07 hours
Health Survey: LAURELS OF WEST CARROLLTON THE
Heath Survey Summary on 2014-01-09
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-13
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-05-27
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: LAURELS OF WEST CARROLLTON THE
Inspection Results: 01/09/2014
Corrected Deficiency Scope and Severity
02/25/2014 Provide activities to meet the interests and needs of each resident. Isolated/Minimal harm or potential for actual harm
02/25/2014 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
02/25/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
02/25/2014 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
02/25/2014 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
02/25/2014 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/13/2012
Corrected Deficiency Scope and Severity
10/20/2012 1) Hire only people with 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
10/20/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
10/20/2012 Develop 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. Isolated/Minimal harm or potential for actual harm
10/20/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
10/20/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
10/20/2012 Provide or obtain dental services for each resident. Isolated/Minimal harm or potential for actual harm
10/20/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 05/27/2011
Corrected Deficiency Scope and Severity
07/11/2011 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: LAURELS OF WEST CARROLLTON THE
Fire Safety Survey Summary on 2014-01-06
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-10
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 Summary on 2011-05-25
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: LAURELS OF WEST CARROLLTON THE
Fire Safety Survey Results: 01/06/2014
Corrected Deficiency Severity
02/25/2014 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
02/25/2014 Portable fire extinguishers. Pattern/Minimal harm or potential for actual harm
02/25/2014 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/10/2012
Corrected Deficiency Severity
10/20/2012 Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
10/20/2012 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
10/20/2012 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm
10/20/2012 Record of quarterly fire drills for each shift under varying conditions. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/25/2011
Corrected Deficiency Severity
07/11/2011 Properly located and lighted "Exit" signs. Widespread /Minimal harm or potential for actual harm
07/11/2011 A written emergency evacuation plan. Widespread /Minimal harm or potential for actual harm
07/11/2011 Proper backup exit lighting. Widespread /Minimal harm or potential for actual harm
07/11/2011 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
07/11/2011 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Minimal harm or potential for actual harm
07/11/2011 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm

Resident Complaints: LAURELS OF WEST CARROLLTON THE
Date Complaint Substantiated: 03/06/2014
CorrectedCategoryDeficiencySeverity
04/16/2014Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
04/16/2014Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 11/06/2013
CorrectedCategoryDeficiencySeverity
12/03/2013Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
12/03/2013Store, cook, and serve food in a safe and clean way. E

Quality Measures: LAURELS OF WEST CARROLLTON THE
Quality Measures National Average Ohio Average LAURELS OF WEST CARROLLTON THE
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% 18.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 13.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 14.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.4% 5.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.6% 31.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 5.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 2.8%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 14.4% 9.5%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 3.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.1% 63.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.2% 74.2%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.8% 33.7%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.1% 31.1%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 2.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.9% 38.4%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 85.2% 48.6%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 4.0%

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