General Information: WAYSIDE FARM INC
Nursing home name WAYSIDE FARM INC
Address4557 QUICK RD
PENINSULA, OH 44264
Phone number (330) 923-7828
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 95
Total number of residents 94
Perc of occupied beds 98
Sprinkler status Yes
Number of Facility Reported Incidents2
Number of Substantiated Complaints6
Number of Fines1
Total Amount of Fines$3200
Total Number of Penalties0
Total Number of Penalties1
Ratings Summary: WAYSIDE FARM INC
Overall rating 2
2
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: WAYSIDE FARM INC
National AverageOhio AverageWAYSIDE FARM INC
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 94
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.0 hours 3.46 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 0.28 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.9 hours 1.13 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.31 hours 2.06 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.07 hours 0.03 hours
Health Survey: WAYSIDE FARM INC
Heath Survey Summary on 2013-01-20
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 2011-09-22
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-11-19
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: WAYSIDE FARM INC
Inspection Results: 01/20/2013
Corrected Deficiency Scope and Severity
02/06/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
02/06/2013 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. Pattern/Minimal harm or potential for actual harm
02/06/2013 Give notice to the resident before a room or roommate change. Isolated/Minimal harm or potential for actual harm
02/06/2013 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
02/06/2013 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
02/06/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
02/06/2013 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
02/06/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/22/2011
Corrected Deficiency Scope and Severity
11/29/2011 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. Pattern/Minimal harm or potential for actual harm
11/29/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
11/29/2011 Provide housekeeping and maintenance services. Widespread/Potential for minimal harm
11/29/2011 Provide proof that residents' personal money that is deposited with the nursing home is secure. Widespread/Potential for minimal harm
11/29/2011 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern/Potential for minimal harm
11/29/2011 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
11/29/2011 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread/Potential for minimal harm
11/29/2011 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated/Minimal harm or potential for actual harm
11/29/2011 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Isolated/Minimal harm or potential for actual harm
11/29/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/19/2010
Corrected Deficiency Scope and Severity
12/31/2010 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
12/31/2010 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
12/31/2010 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: WAYSIDE FARM INC
Fire Safety Survey Summary on 2013-01-15
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-09-12
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-11-16
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: WAYSIDE FARM INC
Fire Safety Survey Results: 01/15/2013
Corrected Deficiency Severity
02/06/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
02/12/2013 Weekly inspections and monthly testing of generators. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/12/2011
Corrected Deficiency Severity
11/29/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
11/29/2011 Corridors or aisles that are unobstructed and are at least 8 feet in width. Pattern/Minimal harm or potential for actual harm
11/29/2011 Proper backup exit lighting. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/16/2010
Corrected Deficiency Severity
12/31/2010 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
12/31/2010 A written emergency evacuation plan. Pattern/Minimal harm or potential for actual harm
12/31/2010 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
01/17/2011 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
12/31/2010 Weekly inspections and monthly testing of generators. Pattern/Minimal harm or potential for actual harm

Resident Complaints: WAYSIDE FARM INC
Date Complaint Substantiated: 01/14/2014
CorrectedCategoryDeficiencySeverity
03/11/2014Have enough nurses to care for every resident in a way that maximizes the resident's well being. D
03/11/2014Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Have a program that investigates, controls and keeps infection from spreading. E
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
Date Complaint Substantiated: 10/03/2013
CorrectedCategoryDeficiencySeverity
10/11/2013Develop 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. D
Date Complaint Substantiated: 10/24/2012
CorrectedCategoryDeficiencySeverity
11/13/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
11/13/20121) 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. D
Date Complaint Substantiated: 07/10/2012
CorrectedCategoryDeficiencySeverity
07/19/2012Conduct initial and periodic assessments of each resident's functional capacity. E
07/19/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 03/12/2012
CorrectedCategoryDeficiencySeverity
03/15/2012Exits that are accessible at all times. E
Date Complaint Substantiated: 01/30/2012
CorrectedCategoryDeficiencySeverity
01/12/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 10/31/2011
CorrectedCategoryDeficiencySeverity
11/29/2011Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G

Quality Measures: WAYSIDE FARM INC
Quality Measures National Average Ohio Average WAYSIDE FARM INC
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% 4.4%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 3.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 2.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.4% 2.8%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.6% 15.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 1.6%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 3.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 14.4% 32.5%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.7% 3.5%
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% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.2% 99.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.8% 88.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.1% %
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% %
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.9% %
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 85.2% %
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% %

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