| Lutheran Home | |
| 1036 South Perry Street, Napoleon, Ohio 43545 | |
| (419) 592-1688 | |
| Name | Lutheran Home |
|---|---|
| Location | 1036 South Perry Street, Napoleon, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 27 |
| Occupancy Rate | 92.59% |
| Medicare ID (CCN) | 366162 |
| Legal Business Name | Lutheran Homes Society, Inc. |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1588968143 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lutheran Homes Society, Inc. |
| Doing Business As | Lutheran Home |
| Address | 1036 S Perry St, Napoleon, OH 43545 |
| Phone Number | 419-599-4791 |
| NPI Number | 1033156914 |
| Match | Possible same name, address or phone number |
| Organization Name | Lutheran Orphans and Old Folks Home at Napoleon |
| Doing Business As | Lutheran Nursing and Rehabilitation Center |
| Address | 1036 S Perry St, Napoleon, OH 43545 |
| Phone Number | 419-592-1688 |
| 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 | 3.82 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.75 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.61 | 0.86 |
| Nurse aide hours per resident per day | 2.46 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.77 | 3.42 |
| RN hours per resident per day on the weekend | 0.56 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 77.2% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 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 |
|---|---|---|---|
| Sep 5, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Sep 30, 2024 |
| Sep 5, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 30, 2024 |
| Sep 5, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 30, 2024 |
| Sep 5, 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 Sep 30, 2024 |
| Sep 5, 2024 | 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 Sep 30, 2024 |
| Sep 5, 2024 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 30, 2024 |
| Sep 5, 2024 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Plan of correction |
| Apr 22, 2024 | 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, Complaint inspection | Potential for harm, isolated | Corrected by May 8, 2024 |
| Dec 18, 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 | Potential for harm, isolated | Corrected by Jan 12, 2024 |
| Dec 18, 2023 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Jan 12, 2024 |
| Dec 18, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jan 12, 2024 |
| Jun 30, 2022 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | Honor the resident's right to manage his or her financial affairs. F0567, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | 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, isolated | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2022 |
| Jun 30, 2022 | 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 Aug 1, 2022 |
| Jun 30, 2022 | 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 1, 2022 |
| Jun 30, 2022 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Plan of correction |
| Jun 30, 2022 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Plan of correction |
| Jul 25, 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 Sep 13, 2019 |
| Jul 25, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Sep 13, 2019 |
| Jul 25, 2019 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 13, 2019 |
| Jul 25, 2019 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 13, 2019 |
| Jul 25, 2019 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 13, 2019 |
| Jul 25, 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 Sep 13, 2019 |
| Jul 25, 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 Sep 13, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.7 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.23 | 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 | 0.87 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 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 | 3.48 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Not Available | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.16 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.14 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.5 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.19 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.66 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.43 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4.35 | 15.38 |
Northcrest Rehab and Nursing Center Location: 240 Northcrest Drive, Napoleon, Ohio 43545 Phone: (419) 599-4070 |