General Information: HEATHER KNOLL RETIREMENT VILLAGE
Nursing home name HEATHER KNOLL RETIREMENT VILLAGE
Address1134 NORTH AVE
TALLMADGE, OH 44278
Phone number (330) 688-8600
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 100
Total number of residents 78
Perc of occupied beds 78
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: HEATHER KNOLL RETIREMENT VILLAGE
Overall rating 3
3
Nursing Home Staffing 2
2
Registered Nurses only 3
3
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: HEATHER KNOLL RETIREMENT VILLAGE
National AverageOhio AverageHEATHER KNOLL RETIREMENT VILLAGE
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 78
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.0 hours 3.78 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.89 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.79 hours 0.95 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.9 hours 0.93 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.31 hours 1.89 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.07 hours 0.14 hours
Health Survey: HEATHER KNOLL RETIREMENT VILLAGE
Heath Survey Summary on 2013-08-15
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-24
Total Number of Health Deficiencies 16
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-03-31
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: HEATHER KNOLL RETIREMENT VILLAGE
Inspection Results: 08/15/2013
Corrected Deficiency Scope and Severity
09/17/2013 Conduct initial and periodic assessments of each resident's functional capacity. Pattern/Potential for minimal harm
09/17/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 05/24/2012
Corrected Deficiency Scope and Severity
06/30/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
06/30/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
06/30/2012 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
06/30/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
06/30/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
06/30/2012 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
06/30/2012 Provide or obtain dental services for each resident. Isolated/Minimal harm or potential for actual harm
06/30/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
06/30/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Widespread/Potential for minimal harm
06/30/2012 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
06/30/2012 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. Widespread/Potential for minimal harm
06/30/2012 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
06/30/2012 Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Isolated/Minimal harm or potential for actual harm
06/30/2012 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
06/30/2012 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
06/30/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: HEATHER KNOLL RETIREMENT VILLAGE
Fire Safety Survey Summary on 2013-08-15
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-05-24
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 2011-03-31
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: HEATHER KNOLL RETIREMENT VILLAGE
Fire Safety Survey Results: 05/24/2012
Corrected Deficiency Severity
06/30/2012 Properly protected cooking facilities. Widespread/Potential for minimal harm
06/30/2012 An approved automatic sprinkler system connected to the fire alarm system. Widespread /Minimal harm or potential for actual harm
06/30/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread /Minimal harm or potential for actual harm

Resident Complaints: HEATHER KNOLL RETIREMENT VILLAGE
Not available

Quality Measures: HEATHER KNOLL RETIREMENT VILLAGE
Quality Measures National Average Ohio Average HEATHER KNOLL RETIREMENT VILLAGE
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% 14.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 4.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 5.7%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.4% 7.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.6% 51.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 8.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 5.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 14.4% 4.6%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.7% 3.7%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 4.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.1% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.2% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.8% 17.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.1% 16.6%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 0.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.9% 95.5%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 85.2% 96.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 1.1%

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