Erie County Care Facility 'much below average'

Medicare’s “Nursing Home Compare” website generally gives good ratings for Sandusky-area nursing homes.
Tom Jackson
Jan 13, 2013

But there’s a glaring exception: The Erie County Care Facility, located at Osborn Park in Huron Township. It’s owned and run by Erie County’s government and is given an overall rating of only one out of five stars by the site. That’s a rating the site translates as “Much Below Average.”

The county nursing home is rated “Below Average” for health inspections, “Average” for staffing and “Much Below Average” for quality ratings.

Some of the common indicators for underperforming nursing homes aren’t present at the Erie County Care Facility. Inspectors found only a few deficiencies during the last inspection, and the
deficiencies weren’t major.

But Medicare spokeswoman Elizabeth Surgener said the overall one-star rating for the home is accurate and said it largely reflects the home’s poor score in quality measures.

A technical users guide says the five-star rating for quality measures is calculated using nine indicators.

Out of the nine, Erie County’s nursing home scores better than the state average for three but worse than the state average for six.

The home scored especially badly in three quality measures. More than 17 percent of its long-term residents had urinary tract infections, versus a state average of 8.3 percent and a national average of 7.6 percent.

The percentage of long-term residents reporting moderate to severe pain was 24.2 percent, versus an average of 13.6 percent for Ohio and 11.6 nationally. And the percentage of long-term residents who are physically restrained was 10.6 percent, versus 2.8 percent in Ohio and 2.2 percent nationally.

The home currently does not have an administrator, and the county commissioners are searching for one, commissioner Bill Monaghan said.

“We’re working on getting that addressed and getting our score up,” said Donna Patrick, director of nursing at Erie County Care Facility.

Patrick said by working with a quality improvement organization, Ohio KePRO, the nursing home has reduced the number of physically restrained residents to 3 percent. The nursing home also is working to reduce pain and urinary tract infections, she said.

The home may have a chance to raise its rating. This week, state inspectors were at the nursing home for an annual survey, and that visit should generate a written report in a few weeks. The health department’s report will be released as a public record after it’s been given to the nursing home, said Tessie Pollock, a spokeswoman for the department.

Monaghan said he was surprised to hear the county’s nursing home has such a low rating.

“I go there on a weekly basis,” said Monaghan, who said the building is kept in good shape.

“The place is immaculate. They do an outstanding job,” he said.

Monaghan said he also sometimes eats at the nursing home to make sure the food is OK.

Erie County’s nursing home is hindered by the federal government’s payment schedule, which classifies Erie County as a rural county but classifies Ottawa County as a metropolitan county, which receives better payments, Monaghan said.

“If we were classified the same as Ottawa County, we’d be getting half a million dollars more,” Monaghan said.

During the past decade, the Erie County Care Facility has lost about $3.8 million.

Pat Shenigo, another county commissioner, said county officials have worked hard to upgrade the center and the improvements are ongoing.

“We’re working really hard to bring ourselves into the 21st century,” he said.

The home will get an improved rehabilitation area, Shenigo said. That will attract Medicare patients, who receive a higher reimbursement rate than Medicaid patients, he said.
 

Comments

donutshopguy

Worst care in the county and it still hemorrhaging money. Is it the nature of a county home? Are other facilities in other counties similar?

This facility needs to be available but at what cost?

Licorice Schtick

Erie Care is FAR from the worst in the county. Pretty good, all things considered. And keep in mind that the infection rate stats are only as trustworthy as the integrity of the facility's records.

KnuckleDragger

Apparently you haven't been out there lately, or regularly like I have.

Factitious

They didn't get to the root of the problem until the last paragraph. Money. Medicaid pays less than Medicare, and county facilities tend to end up with the patients no one else wants. And county-owned facilities tend to pay their workers a little more. Should that be considered a problem? Glad the Commissioners are working on this.

donutshopguy

Fact,

The county is paying its workers a little more but the care provided is less. So money does not provide better care or services ? There is a problem.

Licorice Schtick

YES there's a problem -we've created an economic system in which businesses get ahead by treating their workers as badly as possible, yet they oppose leveling the playing field by raising the minimum wage to a living wage.

We should also respect that a lot of the workers in this industry are passionate about their work and could get a better deal doing something else. That's the kind of people the best places have. The worst have people that only take the job because no one else will have them.

reader1

Not sure about these ratings. I've visited 5 of these places. Bottom of the barrel is Great Lakes. Just ask relatives of patients, especially those who got bed sores.

Licorice Schtick

Funny how quick government haters are to trust a govenment rating when it shows poor performance by a govenment facility.

Pete

Government run health care at its finest!

Kimo

Anti-government... anti-union... trolls will run up the SR hits on this puppy....

In the end it will end up Obama's fault......

Pete

Not his. Same sheeple that voted for him though.
But this is what he wants for all of us.

The Big Dog's back

You sound like a worn out record.

Pete

Coming from the thing that still blames Bush at every turn. Ironic.

Pete

Double Post

Kimo

Those of us that have had to make this choice for someone will tell you there is no perfect choice that fits all. There are other factors that are not mentioned in the ratings.

samiam

Sandusky's schools are considered urban schools by the state because of the number of low income families yet the county, with Sandusky as it's largest community, is considered rural for this issue? Doesn't make sense, does it? Kinda sounds like the right hand doesn't know what the left hand is doing. Most likely the different departments/entities don't communicate with one another.

Donutshopguy says "The county is paying its workers a little more but the care provided is less." It doesn't say the care provided is less. Perhaps the patients that are there had less economic means to take care of their health before they were residents of the facility. Perhaps their current health is worse overall than residents of other facilities. Perhaps the ratio of employees to patients is less than other facilities.

Also it doesn't tell what the 3 indicators are in which it scored better than state averages. It would be interesting to know what those indicators are.

Rod Farva

Raise taxes!

John Harville

MOre guns! Arm the residents so they can demand better care!!!

donutshopguy

Sam,

"More than 17% long term patients have urinary tract infections vs a state average of 8.3%."

This has nothing to do with recently admitted patients. This has to do with the lack of health care provided at the facility over an extended period of time. Sure glad we pay our workers more for that care provided. Maybe they should get a raise and we can push the infection rate above 20%.

WiredMamba666

Your missing Sam's point in your need to be antigovernment at all costs. Poorer people are less healthy so come in with more health problems so are more susceptible to UT infections and mental problems. You could take the same group of people to the most efficient privately run facility and they would have the same health problems and bring down any facility's score. Conversely you could take wealthy seniors to Erie and they'd be fine with the same level of care.

Licorice Schtick

There's no reasoning with government-haters, because they're selfish and greedy and most likely wealthy-wannabees who hate people and the only representation ordinary people have, a government of The People, by The People, for The People. When you prove they're wrong with logic, they just tune it out and harden their stance.

KnuckleDragger

Which shows how ignorant liberals are. You prove people wrong with documented facts, NOT logic. The only thing I ever see from you are opinions.

donutshopguy

Wiredmamba

Again, this is not about the people coming in. It's about long term patients. Get it, long term patients that have been at the facility for a long period of time. The urinary tract infections are at 20% for people that have been their a long time. This is a lack of health care for those patients.

John Harville

doNUT. "Long-term care" means providing more than post-op recovery, PT/OT to home, respite.
For 'long-term' residents this is 'home'. Many probably won't leave except in a bag. UTIs simply are a matter of poor perineal care. In another area home, administration decided STNAs were wasting perineal care cloths so cut back on how many an STNA could have. Some STNAs, not wanting to bother with washcloths, started using the brown paper towels from the bathroom.... State law requires residents who cannnot go to the bathroom be 'toileted' every two hours. But when one STNA has 15 patients - all in need of toileting - the task can become daunting. Well... I'm not going on. The concern about a UTI is the effect it can have on mental attitude, behavior, phusical issues.

WiredMamba666

You don't seem to get it. Patients who go to that facility, regardless of how long they have been there, are more likely to have preexisting health problems because of their poverty making them more susceptible to health problems. You don't clear up decades of health problems in any amount of time in seniors. This, I propose, is what is bringing down the score, not as you assert, that it is because it is a govt. facility. No one on this thread is making a distinction about recent admissions vs. long term patients to explain the score. We're saying Erie takes patients who were worse of to begin with. IDK how to be more clear here.

deertracker

I'd rather skip the nursing home and go straight to the grave. Your life as you knew it is over anyway. Healthcare is a business. Don't bash the workers, they have to do things most won't do for any amount of pay. It's sad the way life can end but it is what it is. You can work for your entire life, pay all your taxes, never needed any assistance then you get sick, old and lose everything just to lay around waiting to die at a hefty price tag. No thanks! Sound to me this place does an "outstanding much below average" job there Mr. Comissioner.

44846GWP

Agree, I'd rather die than spend my final years in one of these places!

heaven-leigh

I worked as a nurse aide for years. It is backbreaking work, not to mention dealing with feces, urine, blood, vomit etc..Aides are horribly underpaid for the work they do. Cleaning up dead bodies was also part of my job.

JACKEL

Thank God there are people like you, willing to do that job.I had all I could do to clean up after my own kids !Bless you !

heaven-leigh

Jackel, Thank you so much. It wasn't all bad. I went above and beyond for my residents. I truly loved and cared about them. As for the bodily fluids, you get used to it.

Kimo

Re: "Maybe they should get a raise and we can push the infection rate above 20%."

Maybe they use some of "raise" to pay for an EZpass.....

Darkhorse

No wonder the nursing home is not filled with ratings like that.

Swamp Fox

Surprising how many private operated facilities with lower employee costs are rated higher. Would Monaghan or Shenigo allow their family members be a patient at this facility? Time to sell this facility to a private health care company that understands how to run it and no longer be a drain on the taxpayers and improve the care.

John Harville

That hasn't worked well in other counties.

KnuckleDragger

With ECCF current bed utilization rates, it would work just fine.

WiredMamba666

Seems most of the low scores are for things that relate to the health of the patients not quality of the employees or faculties.

I'd be interested to see the difference in income of the patients as the come in. If they were poorer to begin with then that would seem to explain many of the health problems, i.e. living in poverty is bad for your health.

John Harville

Some residents 'finish' at the county home when they run out of insurance or private pay funds and fall back on county care. County homes are the oldest form of care for the poor. Many were built as large farms before the Civil War with 'inmates' doing the farming and gardening, laundry, lawncare and most any other chores. Most homes had cells for the 'crazy'. Usually the big house has several rooms in which 2-6 people lived... sometimes entire families lived in one room. A doctor was paid to provide medical care. If needed, hospitalization usuall was at the county hospital and stays were brief. Inmates who died were buried in the farm cemetery at county expense. Beginnng in 70s counties turned over operation to private companies and the farm land was used for other purposes - most notably county offices and buildings. They transitioned to medical care and long-term residences to eliminate the 'poor farm' mentality. Many counties built new facilities and hired credentialed administrators and nursing staff. Unfortunately, when funds become short, the county home is top on the lists of cuts. STNA is near the top of available jobs but has the highest turnover because of the way faciities treat their staffs - I'm a certified volunteer long-term care ombudsman for the state of Ohio. Whether private, public, non-profit or 'corporate' facility, the care staffs are treated miserably. The issue of most concern is mandatory overtime - how good would you be in direct care in your 12th of 16 hours?

BEHAPPY

THEY ARE NOT UNION
Don't go there.

KnuckleDragger

There isn't a private nursing home in the county that is Union

tiptapmom

I have worked in a nursing home and have had family members in this nursing home and I would not take my dog there! The care (or lack there of) that my family members received from the then admin. down to the aides was horrible!

KURTje

Well oldsters, don't like this. Many of you never cared either when decent jobs left. Not very nice is it? This IS the world many 40 & under know. It is a struggle for us. Our future is all uphill probably.

Julie R.

Don't be so quick in thinking it's only oldsters that are in nursing homes. I know a young man of 40 that has been in one for quite awhile. A classic example of: Why do bad things happen to good people?

heaven-leigh

Way to go Admirals Pointe! Good job!

Kimo

Re: "I'd be interested to see the difference in income of the patients as the come in."

Bingo

Kimo

Comparing patients in one rest home to patients in another rest home is like comparing students in one school to students in another school. In most cases its apples and oranges...... has more to do with the luck of the draw..........

Don't like a rest home don't put your family there, take care of them yourself and quiturbitchen........

heaven-leigh

Kimo, Well said. I remember one resident whose daughter would show up at 2-3 in the morning. She would actually undo her mothers diaper and smell down there to make sure her mother was cleaned well enough. Talk about going to extremes.

John Harville

Really @Heaven-leigh? Have you ever had a relative in a facility? Have you ever known anyone who laid in a wet diaper 3-8 hours? If you haven't walked those mocassins, don't give us your warhoop.

luvblues2

+1

heaven-leigh

.

NurseRatchet

I have worked in healthcare for many years and have spent some time in both Erie County Care Facility and Ottawa County's Riverview Healthcare Campus. ECCF is a hellhole compared to OCRHC. And I'm not talking about the building either. A patient's socioeconomic status does factor into their health status, but a 17% rate of UTIs is horrendous and the blame belongs only to the nursing staff. As for the restraints, that is not a "mental health" issue; it is a nursing/staffing issue. OCRHC has a unit dedicated to dementia patients and their rate of restraint use is slim to none. There are other methods of keeping a confused or agitated patient safe; staff members at ECCF are obviously just not utilizing these methods.

heaven-leigh

.

cockynurse

These scores are misleading. These scores have A LOT to do with self-reporting and documentation. If a UTI, for example, isnt coded in MDS and surveyors don't find it-its like it never happened. MDS is how nursing homes get paid. Easier to get a better score if you aren't forthcoming with all of your information. I have worked in several of the area nursing homes and seen so much fraud and false documentation its ridiculous. I have also had experience with a family member as a Resident and can say I moved my loved one from one of the "better" rated homes to the county care facility and she received much better care at the county. Not all is as it appears. I have no affiliation with any nursing home anymore-but I wouldnt trust these scores to guide my decision on where to place a family member should the need arise again.

tdluvpit's picture
tdluvpit

I knew a lady there for a short time who recently died. The staff knew the family was on the way to view her body. When they got there, her head was tilted back with mouth wide open from when she gasped her last breath. The facility couldn't pose her in a more peaceful manner for her family???

Darkhorse

I thought restraints were against the law?

John Harville

Restraints are illegal except in severe prescribed situations and for specific lengths of time.

KnuckleDragger

Folks, this is the kind of care you get from the only nursing home in the area with union contracts.

The Big Dog's back

Why the need to lie knucklehead?

KnuckleDragger

No need to lie, BEHAPPY is incorrect. To confirm, I spoke with my cousin who is a nurse there, and she informed me that they are in fact unionized. Go back to sleep mutt, mommy will be there in a bit with your alpo.

meowmix

Riverview Nursing Home in Ottawa Co. is union and as Nurse Ratchett above said, it is a great facility. Get over this nonsense KnuckleDragger--it has nothing what-so-ever to do with it. I don't care what anyone says- STNA's are way overworked and underpaid for the job they do. Unfortunately, since it's a predominantly female held position $9.00 an hour is all their seen fit to earn. Unlike the a county maintence worker who changes the occasional light bulb at $26.00 per hour.

cockynurse

That's not true. OVH is union. Lutheran Memorial is union. Not sure about others-but wouldnt surprise me

BEHAPPY

They are NOT union at ECCF
Contracted out long ago

BEHAPPY

Don't worry~ "workers" are crapped on every day of the week anymore. Seems to be the way you people like to see the actual workers treated anymore. What a shame~without the workers~no need for anyone

Darkhorse

Do we know for sure that the County nursing home is union? Is it really the only nursing home that is union in the area? I thought there were others that are union as well. Anyone know for sure?

NurseRatchet

I have no idea if ECCF is union or not, but I know OVH is.

heaven-leigh

.

John Harville

How these people are treated is how YOU will be treated if you end up in long-term care - or even if you are only there for short term for PT or med-therapy for days or weeks.

So.. if you don't wish to lie in a wet diaper eight hours, or have your meds left on your meal table while you sleep, or spend 23 hours a day in bed or wheelchair, or eat cold food in bed or in a crowded dining room, or see your doctor once a month because that's all the state requires - then you need to be concerned NOW! YOU can make it different. Drop in unexpected at any facility. If you have a relative - or even a friend - in a facility, you do NOT have to observe visiting hours as long as you are not disruptive or interfering with resident care. The facility is, in fact, HOME to the person staying there and they do NOT give up rights because they are in a facility.
Drop in when no one will expect you. I'll venture no staff member even will offer to assist you or notice you are there.

heaven-leigh

.

BEHAPPY

They are NOT, NOT, NOT union and so what if they were? Better paid help and more help...give better care where care is deserved!

Pete

If you look on the Ohio SERB website, you can find their contract with AFSCME.

http://www.serb.ohio.gov/section...

It indicates it is valid through 10-31-2013.

Darkhorse

I would like to hear some war stories out of John Harville. I bet he could tell you some bad ones as a certifide ombudsman. The reporter needs to take it a step further in this story and find out how many nursing homes are union in the area. How about the special feature reporter shadowing an ombudsmen when he is working? It would be interesting to know what all an ombudsmen does. I understand that the state is trying to get one ombudsmen assigned to each and every nursing facility in the area so each facility will have their own assigned ombudsmen and not have to share them with other facilities.

John Harville

Hmmmm - with no relationship to any of the homes anyone has mentioned here:
- patient in end-stage cancer in final hours: No morphine for her pain (which was intense) because it had run out (later discovered used for someone else) and facility hadn't reordered. Family couldn't take prescription to local pharmacy - had to come from the facility's pharmacy in Toledo on next routine drop. Patient died after four hours in intense pain.
- Patient woke up one morning to find her meds in cup on table...some were narcotics. Wasn't sure they were hers. Put on light for nurse who said, "honey, you were sleeping, so I just left them." NOTE: Nurse is to tell patient what each med is, what it treats, and side effects. Patient can refuse ANY med but nurse MUST chart patient refused AND tell patient about possible effects.
- patient asked to have water pill AFTER physical therapy so her therapy wouldn't be interrupted. Nurse told her she had to take it 'now' because nurse didn't have time to bring it later. Patient/resident doesn't forfeit rights since this now is HOME. We 'remedied' this quickly.
- patient with dementia was tied in wheelchair for patient's protection against falling out - which IS legal. She was place in the lounge in front of TV six hours. When I went in she had undressed right in front of nurse's station with two nursing staff right there. Another 'walked' wheelchair into other resident's rooms and 'fingered' their belongings. Nurse went to get the patient and scolded her (remember patient has dementia) instead of merely redirecting patient's attention.
= Encountered several - most - concerned aides and orderlies trying to care for 7 -15 residents. But many of the residents need to be helped to bed or lifted into bed. One orderly and one aide for 15-25 said residents with one nurse for three wings is extrmely ineffective care - and this was in a high-dollar elite facililty.
- an ombudsman in a facility with as many as 100 residents is vastly overcome - and greatly mistrusted and disliked by staff if he does his job.

Kimo

Yo Pete

Thought you didn't know who Christine is.........

Pete

Still don't understand where you get that from, but hey, post what you want.

Like I told you before, the only Christine I knew was in High School. I do have a class reunion in 2014. If I go, and she is there, I will tell her you asked how she is doing.

And by the way, she spelled her name with a K.

Kimo

Hint: You keep posting a link to her website......
.

Pete

Th only link I posted was to the SERB. So how does a Christine fall into that realm?

Kimo

.

Pete

Spit it out. Come on. You know you want to!

And learn to use the "reply" feature would you?

Darkhorse

They only contracted out the housekeeping a few years ago not the nursing.

Darkhorse

Thank you John Harville for providing such a service to the elderly. I imagine being an ombudsman is an interesting volunteer job. Don't let the nursing homes bully you around because a lot of patients count on you. A lot of people don't know that the service even exist.

meowmix

What difference does it make if a nursing facility is union or not? Long short of it is as I typed previously- it's that gals like heaven-leigh are few and far between. Grossly underpaid for the job that they are required to do. I knew of an STNA who had been kicked, punched, cursed-out you name it while doing her job all for a whopping $8.00 an hour. I sure as hell couldn't do that type of job, let alone for the pittance they are paid.

heaven-leigh

Thank you for your kind words. They truly meant so much. I tried to do the little things for them. Bringing them coffee in the morning or their favorite snack as a surprise. I had one resident who had a stroke at only 38 yrs.old. She could not move or speak except for her hands slightly. I knew she loved cats because she would make "cooing noises" when I would talk about them. There was a tiny black kitten hanging around outside..I snuck it under my scrub top and into her room, She actually raised her hand and pet that kittens' head over and over and kept making those "cooing " noises. I will never forget that. She was happy if only for those few minutes. Moved her hand! So touching.

Kimo

FYI pete

serb website is not accurate, needs to be updated......

KURTje

This validates much about America. Some have enjoyed a much better econonmy. Most have known so many econmic struggles. Imo. it will continue to get worse unless as America, our standard of living comes back..though I doubt it. Most in America think of self only. And we wonder why.