Koester Pavilion
3232 North County Road 25a, Troy OH 45373 · (937) 440-7663 · 84.88% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Koester Pavilion is a large non-profit nursing home located in Troy, Ohio. It looks like this facility is a subpar facility. A grade of this caliber indicates we found some red flags. If you are not happy with this facility's poor overall grade, you may find your options to be limited in Troy. The city has just one other nursing home. If you aren't deterred by this place's report card, you can continue reading to learn more about its category grades. We discuss inspections in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 135 Beds
CCRC :
Non profit - Other
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While we were not high on this nursing home's overall grade, it actually received a very impressive inspection report this year. In fact, it received an excellent inspection report this year. As a result, it received one of our best scores in that category with an A. Inspection grades weigh a host of factors found on a facility's inspection reports. One key criteria we weigh heavily is the number and severity of deficiencies. You generally want to avoid nursing homes with a list of deficiencies flagged. This place received 5 deficiencies on its inspection report, but none were considered to be severe. This indicates that CMS didn't deem any of these deficiencies to be an imminent risk to patient safety or health. A few minor deficiencies aren't necessarily the end of the world.
Long-term Care Quality
This facilities next best area was long-term care. We gave it a grade of B- in this area. This is essentially a middle of the road score in this category. In calculating our long-term care grades, we analyze the personal care received by the nursing home's patients. In addition to looking at the quantity of care provided by nurses and other staff, we looked at the number of residents vaccinated for pneumonia. This facility provided the vaccine to 81.90709 percent of its patients. This is multiple points lower than what we expected. Finally, we looked at its number of hospitalizations. With 1.85 hospitalizations per 1,000 long-term resident days, this facility is also below average.
Short-term Care Quality
This nursing home's third most favorable category is its short-term care grade, where it received a grade of C. Our short-term care scores are based in part on a nursing home's quantity of skilled highly skilled professionals. This means a vast spectrum of nursing services, spanning from registered nurses to physical and occupational therapists, in addition to other variations of therapy. Unfortunately, we found that this nursing home provided fewer physical therapist and registered nurse hours per resident than most other nursing homes. Finally, we looked at the percentage of patients that returned home from this facility and found that this nursing home performed better here. In fact, this nursing home fared better than most nursing homes in the nation in this area with 51.6 percent of its patients returning home.
Nurse Quality
The next area we assessed is nursing, in which this facility was given an abysmal score in this category also. Sadly, it received an abysmal F in this category, which is definitely somewhat alarming. In calculating our nursing grades, we look at both nursing hours and the training levels of those nurses. With a meager 3.2 hours of nursing care per resident per day, this nursing home's nurse staffing levels were far below average. To pair with its subpar totals in the area of nursing hours per patient, this nursing home also did not fare as well in the quality-based measures we looked at in determining our nursing grades. We looked at the percentage of patients sustaining pressure ulcers and major falls. This place had more falls and pressure ulcers than the average nursing home. This may be a bad sign when you consider that many bed sores and falls are preventable with better nursing care. These metrics pulled down this facility's nursing grade quite a bit.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Koester Pavilion Quality Metrics
Minimizes Pressure Ulcers
This indicates the percent of patients who have had a pressure ulcer. Pressure ulcers, which are also called bed sores, are often caused by patients not being moved frequently enough. Better nursing care can limit the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of residents that suffered from a fall which caused serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This datapoint measures the percentage of long-term residents who suffered from a urinary tract infection. Although a higher rate of these infections could reflect poorly on a nursing home's nursing care, it can be problematic to compare different facilities due to nursing homes having reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients given antipsychotic drugs. Antipsychotic medications are prescribed to patients for many conditions, including dementia. Tragically, in limited cases, high levels of antipsychotic drug use may suggest a nursing home is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of residents prescribed antianxiety medications. Antianxiety medications are given to patients experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric is a measure of the percent of long-term care residents who are exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of residents that received the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percent of residents that required increased assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint measures the percent of long-term stay patients who maintained mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This indicates the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint measures the number of times residents are rehospitalized per thousand days of short-term resident care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per 1,000 days of short-term patient care. There is typically a correlation between staying out of the emergency room and the overall quality of short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term stay residents that saw functional improvements, such as with activities of daily living. Higher levels of independence with ADL's often correlates with better rehabilitation.
Percentage of Resident
Higher is Better