Cycle 1
Health 2025-06-12 · Fire 2025-06-12
19 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cuyahoga Falls, OH
Altercare Of Cuyahoga Falls Ctr For Rehab & Nursin
2-star overall rating with 2-star inspections with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2728 Bailey Rd, Cuyahoga Falls, OH
(330) 929-4231
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
91
Certified beds
Average residents
71
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
1973-02-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars
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
0.84
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.35
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
79%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
72%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,395
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9898
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.10
Baseline 19.10% · Performance 19.07% · Measure score 5.10 · Achievement 5.10 · Improvement 0
Healthcare-associated infections
7.23
Baseline 6.69% · Performance 5.67% · Measure score 7.23 · Achievement 7.23 · Improvement 5.50
Total nurse turnover
0.61
Baseline 83.16% · Performance 76.67% · Measure score 0.61 · Achievement 0 · Improvement 0.61
Adjusted total nurse staffing
1.59
Baseline 3.24 hours · Performance 3.53 hours · Measure score 1.59 · Achievement 1.59 · Improvement 0.63
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.96% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 19.23% · Lower 95% interval 7.87% |
| Discharge to community | 51.18% |
50.57%
0.6 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 42.59% · Lower 95% interval 40.41% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 53 · Denominator 53 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 53 |
| Discharge self-care score | 60.47% |
53.69%
6.8 pts better
|
Numerator 26 · Denominator 43 |
| Discharge mobility score | 53.49% |
50.94%
2.6 pts better
|
Numerator 23 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 5.66% |
2.29%
3.4 pts worse
|
Numerator 3 · Denominator 53 · Adjusted rate 4.45% |
| Healthcare-associated infections requiring hospitalization | 5.67% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 0% · Lower 95% interval 2.69% |
| Staff COVID-19 vaccination coverage | 0.85% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 117 |
| Staff flu vaccination coverage | 9.52% |
42%
32.5 pts worse
|
Numerator 12 · Denominator 126 |
| Discharge function score | 69.77% |
56.45%
13.3 pts better
|
Numerator 30 · Denominator 43 |
| Transfer of health information to provider | 95.83% |
95.95%
0.1 pts worse
|
Numerator 23 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.45% |
25.2%
21.8 pts worse
|
Numerator 1 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.5% |
92.4%
16.9 pts worse
|
93.4%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.4% · Q2 76.4% · Q3 66.7% · Q4 83.0% · 4Q avg 75.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 73.4% |
94.5%
21.1 pts worse
|
95.5%
22.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 73.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.3%
2.4 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 7.0% · Q4 12.8% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.1% |
26.1%
19 pts better
|
11.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.1% · Q3 12.0% · Q4 10.5% · 4Q avg 7.1% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
6.2%
1.2 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.6% · Q3 2.2% · Q4 12.2% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.9% |
25.4%
4.5 pts better
|
19.6%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 24.5% · Q3 23.5% · Q4 22.7% · 4Q avg 20.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.3% |
11.5%
3.8 pts worse
|
16.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 16.7% · Q3 14.0% · Q4 20.0% · 4Q avg 15.3% · 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 | 6.7% |
7.7%
1 pts better
|
16.3%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
6.2%
1.5 pts worse
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.9% · Q3 6.1% · Q4 2.4% · 4Q avg 7.7% · 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 | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 25.9% |
21.7%
4.2 pts worse
|
19.8%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 32.6% · Q3 14.2% · Q4 19.3% · 4Q avg 25.9% |
| Percentage of long-stay residents with pressure ulcers | 8.2% |
3.7%
4.5 pts worse
|
5.1%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 10.9% · Q3 6.5% · Q4 8.1% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.6% |
78.1%
39.5 pts worse
|
81.7%
43.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.0% · Q2 45.6% · Q3 27.6% · Q4 27.9% · 4Q avg 38.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
12.5%
2.6 pts better
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 10.3% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.2% · Q3 1.0% · Q4 1.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 42.8% |
75.6%
32.8 pts worse
|
79.7%
36.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.3% |
25.1%
8.2 pts worse
|
23.9%
9.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.3% · Observed 35.9% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-02 · Fire 2022-12-02
10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-10-10 · Fire 2019-10-10
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-12
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-25
F · Potential for more than minimal harm
2025-06-12
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-12
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-25
E · Potential for more than minimal harm
2022-12-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-19
F · Potential for more than minimal harm
2019-10-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-10-28
E · Potential for more than minimal harm
2019-10-10
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-10-28
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-12
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-12
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-12
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
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 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-07-25
D · Potential for more than minimal harm
2025-06-12
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-25
E · Potential for more than minimal harm
2024-07-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-16
D · Potential for more than minimal harm
2024-07-23
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 2024-08-16
D · Potential for more than minimal harm
2024-04-19
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-05-08
D · Potential for more than minimal harm
2024-04-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-08
D · Potential for more than minimal harm
2024-04-19
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-08
D · Potential for more than minimal harm
2024-04-19
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-08
D · Potential for more than minimal harm
2023-12-28
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-01-24
D · Potential for more than minimal harm
2022-12-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-12-19
D · Potential for more than minimal harm
2022-12-02
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-19
D · Potential for more than minimal harm
2022-12-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-19
D · Potential for more than minimal harm
2022-12-02
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2022-12-19
F · Potential for more than minimal harm
2019-10-10
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 2019-10-28
E · Potential for more than minimal harm
2019-10-10
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2019-10-28
D · Potential for more than minimal harm
2019-10-10
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-28
Penalties and ownership
What sits behind the stars
Ownership
Tsg Nursing Centers, Inc
5% Or Greater Direct Ownership Interest · Organization
Altercare Of Ohio, Inc
Operational/Managerial Control · Organization
Film, George
Corporate Officer · Individual
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer
5% Or Greater Indirect Ownership Interest · Organization
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr
5% Or Greater Indirect Ownership Interest · Organization
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer
5% Or Greater Indirect Ownership Interest · Organization
Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman
5% Or Greater Indirect Ownership Interest · Organization
Goodman, John
Corporate Officer · Individual
Johnson, Kathy
Corporate Officer · Individual
Mock, Douglas
Corporate Officer · Individual
Mock, Douglas
W-2 Managing Employee · Individual
Nutter, Orian
Corporate Officer · Individual
Powell, Leslie
Corporate Officer · Individual
Powell, Leslie
W-2 Managing Employee · Individual
Susanne Schroer Dynasty Trust U/A
5% Or Greater Indirect Ownership Interest · Organization
The Schroer Group, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Falls Village Skilled Nursing & Rehabilitation
Cuyahoga Falls, OH
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Continuing Healthcare Of Cuyahoga Falls
Cuyahoga Falls, OH
0-star overall rating with 0-star inspections with Special Focus status with $190,383 in total fines with 26 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
The Pavilion At Stow For Nursing And Rehabilitatio
Stow, OH
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Jump out