| Rae-ann Westlake | |
| 28303 Detroit Rd, Westlake, Ohio 44145 | |
| (440) 871-0500 | |
| Name | Rae-ann Westlake |
|---|---|
| Location | 28303 Detroit Rd, Westlake, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 130 |
| Occupancy Rate | 81.62% |
| Medicare ID (CCN) | 365115 |
| Legal Business Name | Rae-ann Westlake Inc |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1093705717 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Rae-ann Westlake, Inc. |
| Doing Business As | M.A.G., Inc. |
| Address | 28303 Detroit Rd, Westlake, OH 44145 |
| Phone Number | 440-871-0500 |
| 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 | 3.42 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.54 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.03 | 0.86 |
| Nurse aide hours per resident per day | 1.86 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.06 | 3.42 |
| RN hours per resident per day on the weekend | 0.33 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 42.6% | 45.8% |
| Registered nurse turnover | 20% | 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 |
|---|---|---|---|
| Feb 8, 2024 | 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 Feb 15, 2024 |
| Feb 8, 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 Feb 15, 2024 |
| Feb 8, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 15, 2024 |
| Feb 8, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 15, 2024 |
| Feb 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, Standard inspection | Potential for harm, isolated | Corrected by Feb 15, 2024 |
| Feb 8, 2024 | Have policies on smoking. F0926, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Feb 15, 2024 |
| Nov 13, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection, Infection control inspection | Potential for harm, pattern | Corrected by Nov 14, 2023 |
| Sep 30, 2021 | 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 | Actual harm, isolated | Corrected by Nov 19, 2021 |
| Sep 30, 2021 | 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 Nov 19, 2021 |
| Sep 30, 2021 | 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 Nov 19, 2021 |
| Sep 30, 2021 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 19, 2021 |
| May 16, 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, pattern | Corrected by Jun 14, 2019 |
| May 16, 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 Jun 14, 2019 |
| May 16, 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 Jun 14, 2019 |
| May 16, 2019 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 14, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.15 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.21 | 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 | 72.03 | 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 | 1.56 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.06 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.1 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.63 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.9 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.3 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.85 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.65 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.33 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.43 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.48 | 15.38 |
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