| The Good Shepherd Health and Rehabilitation Center | |
| 622 Center St, Ashland, Ohio 44805 | |
| (419) 289-3523 | |
| Name | The Good Shepherd Health and Rehabilitation Center |
|---|---|
| Location | 622 Center St, Ashland, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 125 |
| Occupancy Rate | 90.56% |
| Medicare ID (CCN) | 365093 |
| Legal Business Name | The Good Shepherd Home for the Aged |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1487653457 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Good Shepherd Home for the Aged |
| Address | 622 Center St, Ashland, OH 44805 |
| Phone Number | 419-289-3523 |
| NPI Number | 1962363291 |
| Match | Possible same name, address or phone number |
| Organization Name | Good Shepherd Operator LLC |
| Doing Business As | The Good Shepherd Health and Rehabilitation Center |
| Address | 622 Center St, Ashland, OH 44805 |
| Phone Number | 419-289-3523 |
| 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 | 4.73 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.98 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.88 | 0.86 |
| Nurse aide hours per resident per day | 2.87 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.79 | 3.42 |
| RN hours per resident per day on the weekend | 0.59 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 31.1% | 45.8% |
| Registered nurse turnover | 29.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 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 |
|---|---|---|---|
| Jul 18, 2024 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | 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 Aug 16, 2024 |
| Jul 18, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Jul 18, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Nov 27, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Mar 3, 2022 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, widespread | Corrected by Apr 8, 2022 |
| Mar 3, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2022 |
| Mar 3, 2022 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2022 |
| Mar 3, 2022 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2022 |
| Mar 3, 2022 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Plan of correction |
| Mar 3, 2022 | 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 | Minimal harm potential, pattern | Plan of correction |
| Apr 5, 2019 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 17, 2019 |
| Apr 5, 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, pattern | Corrected by May 17, 2019 |
| Apr 5, 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, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | 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 May 17, 2019 |
| Apr 5, 2019 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2019 |
| Apr 5, 2019 | 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, isolated | Corrected by May 17, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.82 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.44 | 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 | 2.7 | 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 | 6.74 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.74 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.85 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.69 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.12 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.48 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.69 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.75 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.21 | 15.38 |
Brethren Care Village Health Care Center Location: 2000 Center St, Ashland, Ohio 44805 Phone: (419) 289-1585 |
Crystal Care Center of Ashland Location: 1251 East Main Street, Ashland, Ohio 44805 Phone: (419) 281-9595 |