General Information: PEBBLE CREEK
Nursing home name PEBBLE CREEK
Address670 JARVIS RD
AKRON, OH 44319
Phone number (330) 645-0200
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 150
Total number of residents 141
Perc of occupied beds 94
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: PEBBLE CREEK
Overall rating 4
4
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: PEBBLE CREEK
National AverageOhio AveragePEBBLE CREEK
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 141
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.0 hours 4.24 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.72 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.79 hours 0.81 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.9 hours 0.91 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.31 hours 2.52 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.07 hours 0.12 hours
Health Survey: PEBBLE CREEK
Heath Survey Summary on 2013-12-19
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2012-09-06
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-08
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: PEBBLE CREEK
Inspection Results: 12/19/2013
Corrected Deficiency Scope and Severity
01/20/2014 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern/Potential for minimal harm
01/20/2014 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
01/20/2014 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
01/20/2014 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/06/2012
Corrected Deficiency Scope and Severity
10/22/2012 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
10/22/2012 Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated/Minimal harm or potential for actual harm
10/22/2012 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
Inspection Results: 06/08/2011
Corrected Deficiency Scope and Severity
07/18/2011 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
07/18/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
07/18/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
07/18/2011 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern/Minimal harm or potential for actual harm
07/18/2011 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
07/18/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: PEBBLE CREEK
Fire Safety Survey Summary on 2013-12-19
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-09-05
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-06-07
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: PEBBLE CREEK
Fire Safety Survey Results: 09/05/2012
Corrected Deficiency Severity
10/22/2012 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
10/22/2012 Proper stairway enclosures and vertical shafts. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/07/2011
Corrected Deficiency Severity
07/18/2011 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
07/18/2011 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm

Resident Complaints: PEBBLE CREEK
Not available

Quality Measures: PEBBLE CREEK
Quality Measures National Average Ohio Average PEBBLE CREEK
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.3% 2.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 0.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 3.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.4% 5.1%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.6% 17.0%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 3.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 5.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 14.4% 1.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.7% 0.4%
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% 99.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.2% 98.1%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.8% 18.2%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.1% 4.6%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 0.4%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.9% 98.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 85.2% 97.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 0.0%

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