General Information: MAISON AINE
Nursing home name MAISON AINE
Address2910 L'ERMITAGE PL
STOW, OH 44224
Phone number (330) 688-1188
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 150
Total number of residents 144
Perc of occupied beds 96
Sprinkler status Yes
Number of Facility Reported Incidents2
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: MAISON AINE
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: MAISON AINE
National AverageOhio AverageMAISON AINE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 144
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.0 hours 4.03 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.42 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.79 hours 0.8 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.9 hours 0.63 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.31 hours 2.6 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.07 hours 0.04 hours
Health Survey: MAISON AINE
Heath Survey Summary on 2013-08-15
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-10
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-03-03
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: MAISON AINE
Inspection Results: 08/15/2013
Corrected Deficiency Scope and Severity
09/17/2013 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
09/17/2013 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
09/17/2013 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
09/17/2013 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread /Minimal harm or potential for actual harm
Inspection Results: 05/10/2012
Corrected Deficiency Scope and Severity
05/31/2012 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated/Minimal harm or potential for actual harm
05/31/2012 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
05/31/2012 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: 03/03/2011
Corrected Deficiency Scope and Severity
03/29/2011 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: MAISON AINE
Fire Safety Survey Summary on 2013-08-14
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-10
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-03-03
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: MAISON AINE
Fire Safety Survey Results: 08/14/2013
Corrected Deficiency Severity
09/17/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm

Resident Complaints: MAISON AINE
Date Complaint Substantiated: 05/24/2013
CorrectedCategoryDeficiencySeverity
06/17/2013Protect each resident from all abuse, physical punishment, and involuntary separation from others. D
06/17/2013Develop 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. E
Date Complaint Substantiated: 03/20/2013
CorrectedCategoryDeficiencySeverity
04/05/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 08/10/2012
CorrectedCategoryDeficiencySeverity
09/17/2012Provide housekeeping and maintenance services. E

Quality Measures: MAISON AINE
Quality Measures National Average Ohio Average MAISON AINE
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.3% 18.3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 6.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 1.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.4% 4.1%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.6% 78.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 0.9%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 6.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 14.4% 26.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.7% 1.7%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 3.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.1% 86.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.2% 90.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.8% 31.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.1% 26.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 1.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.9% 45.4%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 85.2% 41.4%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 0.0%

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