| Shelby Skilled Nursing and Rehabilitation | |
| 705 Fulton Street, Sidney, Ohio 45365 | |
| (937) 492-9591 | |
| Name | Shelby Skilled Nursing and Rehabilitation |
|---|---|
| Location | 705 Fulton Street, Sidney, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 50 |
| Occupancy Rate | 89.6% |
| Medicare ID (CCN) | 365297 |
| Legal Business Name | Sidney SNF Inc |
| Ownership Type | For Profit - Corporation |
| Chain | Michael Slyk (7 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1811488612 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Sidney SNF, Inc |
| Address | 705 Fulton St, Sidney, OH 45365 |
| Phone Number | 937-492-9591 |
| NPI Number | 1073588141 |
| Match | Possible same name, address or phone number |
| Organization Name | Pavilion Care Center LLC |
| Doing Business As | The Pavilion |
| Address | 705 Fulton St, Sidney, OH 45365 |
| Phone Number | 937-492-9591 |
| NPI Number | 1114301371 |
| Match | Possible same name, address or phone number |
| Organization Name | PV SNF LLC |
| Doing Business As | The Pavilion |
| Address | 705 Fulton St, Sidney, OH 45365 |
| Phone Number | 937-492-9591 |
| 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 | 3.27 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.41 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.15 | 0.86 |
| Nurse aide hours per resident per day | 1.71 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.31 | 3.42 |
| RN hours per resident per day on the weekend | 0.4 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 65.3% | 45.8% |
| Registered nurse turnover | 87.5% | 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 |
|---|---|---|---|
| Dec 1, 2025 | 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 | Past non-compliance (already corrected) |
| Aug 28, 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, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2024 |
| Aug 28, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2024 |
| Aug 28, 2024 | 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 2, 2024 |
| Aug 28, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2024 |
| Aug 28, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2024 |
| Aug 28, 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 |
| May 8, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| May 8, 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, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2024 |
| May 8, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2024 |
| Apr 14, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2024 |
| Apr 14, 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, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2024 |
| Sep 22, 2023 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F0837, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Sep 29, 2023 |
| Jun 16, 2022 | 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, isolated | Corrected by Jul 11, 2022 |
| Jun 13, 2019 | 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 Aug 2, 2019 |
| Jun 13, 2019 | 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 2, 2019 |
| Jun 13, 2019 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Aug 2, 2019 |
| Jun 13, 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 Aug 2, 2019 |
| Jun 13, 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 Aug 2, 2019 |
| Jun 13, 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, isolated | Corrected by Aug 2, 2019 |
| Jun 13, 2019 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 2, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.97 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.62 | 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 | 79.14 | 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 | 3.23 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.39 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56 | 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 | 10.8 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.57 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.29 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.09 | 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 | 3.61 | 15.38 |