St Mary Of The Woods was recognized and ceritified in 2007 by Centers for Medicare & Medicaid Services as one of model nursing home providers promoting health and improving quality of life. St Mary Of The Woods which is located in 35755 Detroit Road Avon, is scientifically measured and assessed by Centers for Medicare & Medicaid Services and is shown to provide good nursing home services or products under the Medicare program. St Mary Of The Woods is being offered ceritified services and products in Ohio.
Participates in: Medicare Certified Date: Tuesday, May 22, 2007 (18 years certified) Certified Agency: Centers for Medicare & Medicaid Services Legal Business Name: Atrium Retirement Centers Llc Ownership Type: For Profit - Corporation Provider Changed Ownership in Last 12 Months: No
Type
Name
Role Description
Organization
Atrium Centers, Inc.
5% Or More Ownership Interest
Organization
Atrium Centers Management Llc
Operational/managerial Control
Organization
Orion Operating Services Llc
5% Or More Ownership Interest
Person
Jason Reese
Director/officer
Person
Dennis Lockhart
Director/officer
Person
Donald Finney
Director/officer
Person
Donald Finney
5% Or More Ownership Interest
Person
Mark Bailey
W-2 Managing Employee
Person
Essel Bailey
Director/officer
Person
Essel Bailey
5% Or More Ownership Interest
Provider Resides in Hospital: No Number of Federally Certified Beds: 30 Number of Residents in Federally Certified Beds: 28 (94% occupied) Continuing Care Retirement Community: No Special Focus Facility: No With a Resident and Family Council: Both Automatic Sprinkler Systems in All Required Areas: Yes
Survey Date: Wednesday, July 2, 2014 Survey Type: Health Deficiency: F0441 (Have a program that investigates, controls and keeps infection from spreading.) Scope Severity Code: F Deficiency Corrected: Deficient, Provider Has Date Of Correction Date the deficiency was corrected: Friday, July 25, 2014 The inspection cycle of deficiency: 1 (the deficiency was found on a standard inspection)
Survey Date: Wednesday, July 2, 2014 Survey Type: Health Deficiency: F0272 (Conduct initial and periodic assessments of each resident's functional capacity.) Scope Severity Code: D Deficiency Corrected: Deficient, Provider Has Date Of Correction Date the deficiency was corrected: Friday, July 25, 2014 The inspection cycle of deficiency: 1 (the deficiency was found on a standard inspection)
Survey Date: Monday, April 1, 2013 Survey Type: Fire Safety Deficiency: K0062 (Automatic sprinkler systems that have been maintained in working order.) Scope Severity Code: C Deficiency Corrected: Deficient, Provider Has No Plan Of Correction The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)
Survey Date: Wednesday, December 7, 2011 Survey Type: Fire Safety Deficiency: K0062 (Automatic sprinkler systems that have been maintained in working order.) Scope Severity Code: F Deficiency Corrected: Deficient, Provider Has Date Of Correction Date the deficiency was corrected: Tuesday, January 10, 2012 The inspection cycle of deficiency: 3 (the deficiency was found on a standard inspection)
Survey Date: Wednesday, December 7, 2011 Survey Type: Fire Safety Deficiency: K0011 (A two-hour-resistant firewall separation.) Scope Severity Code: F Deficiency Corrected: Deficient, Provider Has Date Of Correction Date the deficiency was corrected: Tuesday, January 10, 2012 The inspection cycle of deficiency: 3 (the deficiency was found on a standard inspection)
Survey Date: Wednesday, December 7, 2011 Survey Type: Fire Safety Deficiency: K0029 (Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishi) Scope Severity Code: E Deficiency Corrected: Deficient, Provider Has Date Of Correction Date the deficiency was corrected: Tuesday, January 10, 2012 The inspection cycle of deficiency: 3 (the deficiency was found on a standard inspection)
Number of Facility Reported Incidents: 0 Number of Substantiated Complaints: 0 Number of Fines: 0 Number of Payment Denials: 0 Total Number of Penalties: 0 Total Amount of Fines in Dollars: USD 0
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This data was updated by using data source from Centers for Medicare and Medicaid Services (CMS) which is publicized on Wednesday, October 1, 2014. If you found out that something incorrect and want to change it, please follow this Update Data guide.
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items
rating
Health Inspection Rating
(4 out of 5 stars)
Quality Rating
(4 out of 5 stars)
Staffing Rating
(4 out of 5 stars)
RN Staffing Rating
(3 out of 5 stars)
Overall Rating
(4 out of 5 stars)
Nursing homes vary in the quality of care and services they provide to their residents. Reviewing health inspection results, staffing data, and quality measure data are three important ways to measure nursing home quality. This information gives you a "snap shot" of the care individual nursing home give.
Patients experiences
Provider
State
Nation
Percent of High Risk Long Stay Residents With Pressure Ulcers
N/A
6%
6%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury
N/A
4%
3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain
N/A
8%
8%
Percent of Long Stay Residents Who Were Physically Restrained
N/A
1%
1%
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased
N/A
15%
16%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder
N/A
3%
3%
Percent of Long Stay Residents With a Urinary Tract Infection
N/A
6%
6%
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain
N/A
21%
19%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened
N/A
1%
1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine
N/A
95%
94%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine
N/A
94%
94%
Percent of Long Stay Residents Who Have Depressive Symptoms
N/A
14%
6%
Percent of Long Stay Residents Who Lose Too Much Weight
N/A
8%
7%
Percent of Long Stay Residents Who Received an Antipsychotic Medication
N/A
22%
20%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder
N/A
40%
44%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine
N/A
86%
83%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication
N/A
2%
2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
N/A
87%
84%
N/A
Data not available.
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St Mary Of The Woods [Federal No:366342] near 35755 Detroit Road, Avon OH