| The Pavilion at Stow for Nursing and Rehabilitatio | |
| 3700 Englewood Drive, Stow, Ohio 44224 | |
| (330) 688-1828 | |
| Name | The Pavilion at Stow for Nursing and Rehabilitatio |
|---|---|
| Location | 3700 Englewood Drive, Stow, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 51 |
| Occupancy Rate | 86.27% |
| Medicare ID (CCN) | 365858 |
| Legal Business Name | Pavilion at Stow, LLC. |
| Ownership Type | For Profit - Corporation |
| Chain | The Pavilion Group (6 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1508686429 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pavilion at Stow, LLC |
| Doing Business As | The Pavilion at Stow for Nursing and Rehabilitation |
| Address | 3700 Englewood Dr, Stow, OH 44224 |
| Phone Number | 330-688-1828 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.16 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.67 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.67 | 0.86 |
| Nurse aide hours per resident per day | 1.83 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.93 | 3.42 |
| RN hours per resident per day on the weekend | 0.41 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 72.1% | 45.8% |
| Registered nurse turnover | 73.3% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 6, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 15, 2024 |
| Apr 17, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Potential for harm, widespread | Corrected by May 3, 2024 |
| Apr 17, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, widespread | Corrected by May 3, 2024 |
| Apr 17, 2024 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by May 3, 2024 |
| Apr 17, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 3, 2024 |
| Apr 17, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 3, 2024 |
| Apr 17, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 3, 2024 |
| Aug 21, 2023 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Oct 6, 2023 |
| Aug 21, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Oct 6, 2023 |
| Aug 21, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 6, 2023 |
| Aug 21, 2023 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 6, 2023 |
| Aug 21, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 6, 2023 |
| Oct 14, 2021 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Nov 18, 2021 |
| Oct 14, 2021 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 18, 2021 |
| Oct 14, 2021 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Minimal harm potential, widespread | Plan of correction |
| Feb 14, 2019 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, widespread | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2019 |
| Feb 14, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 10, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.16 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.88 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 55.63 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.61 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 25.45 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 18.29 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.95 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.1 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.78 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.91 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 30 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.06 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.51 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.67 | 15.38 |
Hudson Springs Nursing and Rehab Location: 5000 Sowul Boulevard, Stow, Ohio 44224 Phone: (330) 653-8722 |