Cycle 1
Health 2024-07-25 · Fire 2024-07-25
5 health deficiencies
Top issue: Infection Control (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Strongsville, OH
Altenheim
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
18627 Shurmer Road, Strongsville, OH
(440) 238-3361
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
128
Certified beds
Average residents
119
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.42
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.27
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.24
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.72
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,302
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9834
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.32% · Performance 24.76% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.95% · Performance 8.40% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.47
Baseline 40.48% · Performance 37.23% · Measure score 6.47 · Achievement 6.47 · Improvement 1.58
Adjusted total nurse staffing
3.17
Baseline 3.07 hours · Performance 3.98 hours · Measure score 3.17 · Achievement 3.17 · Improvement 2.86
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.65% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 372 · Observed rate 9.95% · Lower 95% interval 8.01% |
| Discharge to community | 48.66% |
50.57%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 362 · Observed rate 45.86% · Lower 95% interval 44.4% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 239 · Denominator 239 |
| Falls with major injury | 1.26% |
0.77%
0.5 pts worse
|
Numerator 3 · Denominator 239 |
| Discharge self-care score | 40.29% |
53.69%
13.4 pts worse
|
Numerator 56 · Denominator 139 |
| Discharge mobility score | 57.55% |
50.94%
6.6 pts better
|
Numerator 80 · Denominator 139 |
| Pressure ulcers or injuries, new or worsened | 0.42% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 239 · Adjusted rate 0.52% |
| Healthcare-associated infections requiring hospitalization | 8.4% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 234 · Observed rate 8.55% · Lower 95% interval 5.97% |
| Staff COVID-19 vaccination coverage | 2.93% |
8.2%
5.3 pts worse
|
Numerator 6 · Denominator 205 |
| Staff flu vaccination coverage | 43.69% |
42%
1.7 pts better
|
Numerator 135 · Denominator 309 |
| Discharge function score | 56.83% |
56.45%
0.4 pts better
|
Numerator 79 · Denominator 139 |
| Transfer of health information to provider | 96.43% |
95.95%
0.5 pts better
|
Numerator 54 · Denominator 56 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 154 · Denominator 154 |
| Resident COVID-19 vaccinations up to date | 22.41% |
25.2%
2.8 pts worse
|
Numerator 26 · Denominator 116 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
1.8
1.2 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.4%
7.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.3%
0.6 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.4% · Q3 2.3% · Q4 2.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.6% |
26.1%
16.5 pts better
|
11.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 13.6% · Q3 11.5% · Q4 3.8% · 4Q avg 9.6% |
| Percentage of long-stay residents who lose too much weight | 1.8% |
6.2%
4.4 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 1.5% · Q3 1.4% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.2% |
25.4%
8.2 pts better
|
19.6%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.2% · Q3 12.7% · Q4 14.1% · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.6% |
11.5%
2.9 pts better
|
16.7%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 9.4% · Q3 5.4% · Q4 6.9% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.2% |
7.7%
2.5 pts worse
|
16.3%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 27.7% · Q3 3.3% · Q4 5.0% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.6% |
6.2%
0.4 pts worse
|
14.9%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 13.8% · Q3 6.3% · Q4 3.2% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.5%
0.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
21.7%
1.7 pts better
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 29.0% · Q3 16.1% · Q4 11.6% · 4Q avg 20.0% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
3.7%
1.5 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 4.3% · Q3 5.8% · Q4 3.9% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
78.1%
21.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
12.5%
2.4 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 9.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 0.5% · Q4 0.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
75.6%
24.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
25.1%
1.1 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 22.7% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-05 · Fire 2022-05-05
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
8 fire-safety deficiencies
Top issue: Services (3 deficiencies)
Cycle 3
Health 2019-04-18 · Fire 2019-04-18
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-25
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-07-25
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-07-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-07-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-07-25
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-07-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-07-25
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-07-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-07-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-07-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-25
F · Potential for more than minimal harm
2022-05-05
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-17
E · Potential for more than minimal harm
2022-05-05
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-06-17
E · Potential for more than minimal harm
2022-05-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-17
E · Potential for more than minimal harm
2022-05-05
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-06-17
E · Potential for more than minimal harm
2022-05-05
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-06-17
E · Potential for more than minimal harm
2022-05-05
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-06-17
E · Potential for more than minimal harm
2022-05-05
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-06-17
E · Potential for more than minimal harm
2022-05-05
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-06-17
F · Potential for more than minimal harm
2019-04-18
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2019-06-05
F · Potential for more than minimal harm
2019-04-18
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-06-05
F · Potential for more than minimal harm
2019-04-18
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-07-17
F · Potential for more than minimal harm
2019-04-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-06-05
F · Potential for more than minimal harm
2019-04-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K227 · Egress Deficiencies
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K231 · Egress Deficiencies
Fire Safety
Provide large enough exits.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-07-17
E · Potential for more than minimal harm
2019-04-18
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-07-17
E · Potential for more than minimal harm
2019-04-18
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-06-05
D · Potential for more than minimal harm
2019-04-18
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2019-06-05
Inspection history
Recent health citations
G · Actual harm
2025-10-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-11
F · Potential for more than minimal harm
2025-10-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-11
D · Potential for more than minimal harm
2025-10-21
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-11-11
D · Potential for more than minimal harm
2025-10-21
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-11-11
F · Potential for more than minimal harm
2024-07-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-25
C · Minimal harm
2022-05-05
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-06-17
F · Potential for more than minimal harm
2019-04-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-06-05
E · Potential for more than minimal harm
2019-04-18
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2019-06-05
D · Potential for more than minimal harm
2019-04-18
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-06-05
D · Potential for more than minimal harm
2019-04-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-06-05
D · Potential for more than minimal harm
2019-04-18
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-06-05
D · Potential for more than minimal harm
2019-04-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-05
Penalties and ownership
What sits behind the stars
Ownership
Brassell, Debbie
Corporate Director · Individual
Elber, Renate
Corporate Director · Individual
Haseley, Tamsin
Corporate Director · Individual
Helfrich, Karl
Corporate Director · Individual
Kaminski, James
Corporate Director · Individual
Kedzior, John
Corporate Director · Individual
Kedzior, John
Corporate Officer · Individual
Knowles, David
Corporate Director · Individual
Knowles, David
Corporate Officer · Individual
Manz, Norbert
Corporate Director · Individual
Manz, Norbert
Corporate Officer · Individual
Mueller, Reiner
Corporate Director · Individual
Mueller, Reiner
Corporate Officer · Individual
Oliveros, Ed
Corporate Director · Individual
Psota, Paul
Operational/Managerial Control · Individual
Psota, Paul
Corporate Officer · Individual
Riedthaler, Sue
Corporate Director · Individual
Roach, Melodie
Operational/Managerial Control · Individual
Roach, Melodie
Corporate Officer · Individual
Ward, Anna
Corporate Director · Individual
Weinhold, Elizabeth
Corporate Director · Individual
Wiemken, Gregory
Corporate Director · Individual
Zimmerman, Barry
Corporate Director · Individual
Zimmerman, Barry
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Falling Water Healthcare Center
Strongsville, OH
2-star overall rating with 3-star inspections with $10,839 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Strongsville Healthcare And Rehabilitation
Strongsville, OH
4-star overall rating with 3-star inspections with $27,254 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Diplomat Healthcare
North Royalton, OH
2-star overall rating with 1-star inspections with $11,213 in total fines with 15 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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