5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Hartville, OH
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1420 Smith Kramer Road, Hartville, OH
(330) 877-2666
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
97
Certified beds
Average residents
70
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
1996-02-01
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
RN hours / resident day
0.83
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
68%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
13,428
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
5.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9805
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.15
Baseline 19.53% · Performance 20.44% · Measure score 2.15 · Achievement 2.15 · Improvement 0
Healthcare-associated infections
0
Baseline 5.10% · Performance 7.75% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 64.71% · Performance 63.83% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.13 hours · Performance 3.21 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.69% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 6.67% · Lower 95% interval 6.64% |
| Discharge to community | 62.15% |
50.57%
11.6 pts better
|
Better than the National Rate · Eligible stays 78 · Observed rate 61.54% · Lower 95% interval 53.02% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 37 · Denominator 37 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 37 |
| Discharge self-care score | 53.57% |
53.69%
0.1 pts worse
|
Numerator 15 · Denominator 28 |
| Discharge mobility score | 60.71% |
50.94%
9.8 pts better
|
Numerator 17 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 1 · Denominator 37 · Adjusted rate 2.32% |
| Healthcare-associated infections requiring hospitalization | 7.76% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 38 · Observed rate 10.53% · Lower 95% interval 4.65% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 107 |
| Staff flu vaccination coverage | 25% |
42%
17 pts worse
|
Numerator 27 · Denominator 108 |
| Discharge function score | 64.29% |
56.45%
7.8 pts better
|
Numerator 18 · Denominator 28 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% |
92.4%
4.5 pts worse
|
93.4%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.5% · Q2 90.9% · Q3 88.5% · Q4 90.7% · 4Q avg 87.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.3% |
94.5%
6.2 pts worse
|
95.5%
7.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.3%
1 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.9% · Q4 5.6% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.5% |
26.1%
5.6 pts better
|
11.4%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 26.1% · Q3 12.2% · Q4 14.3% · 4Q avg 20.5% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
6.2%
3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 2.6% · Q4 4.9% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.9% |
25.4%
4.5 pts worse
|
19.6%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 23.7% · Q3 33.3% · Q4 29.3% · 4Q avg 29.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.6% |
11.5%
5.9 pts better
|
16.7%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 0.0% · Q3 8.8% · Q4 6.5% · 4Q avg 5.6% · 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 | 12.3% |
7.7%
4.6 pts worse
|
16.3%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 12.6% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
6.2%
4.6 pts worse
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 16.7% · Q3 3.1% · Q4 5.4% · 4Q avg 10.8% · 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 | 1.4% |
0.5%
0.9 pts worse
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.8% · Q3 0.0% · Q4 1.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% |
21.7%
4.7 pts better
|
19.8%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 23.5% · Q3 11.5% · Q4 16.7% · 4Q avg 17.0% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
3.7%
1.7 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 1.7% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.7% |
78.1%
16.4 pts worse
|
81.7%
20 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 42.9% · Q2 64.7% · Q3 71.2% · Q4 61.7% · 4Q avg 61.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.2% |
12.5%
5.7 pts worse
|
12.0%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 16.7% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.2%
1 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.6% · Q3 2.4% · Q4 1.4% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 68.4% |
75.6%
7.2 pts worse
|
79.7%
11.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 68.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.6% |
25.1%
7.5 pts better
|
23.9%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 16.7% · Expected 22.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Top issue: Nursing and Physician Services (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-28
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-03-28
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-03-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-10-03
Fire Safety
Construct fire resistant interior walls.
Corrected 2019-10-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-10-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-10-03
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 2019-10-03
Inspection history
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 2025-03-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-28
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-03-28
Health
Provide or obtain dental services for each resident.
Corrected 2025-03-28
Health
Keep all essential equipment working safely.
Corrected 2025-03-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-11
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-29
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-11-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-29
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 2023-11-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-20
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 2023-09-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-20
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-04-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-09-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-09-20
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-09-20
Health
Post nurse staffing information every day.
Corrected 2022-09-20
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2019-10-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-10-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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1-star overall rating with 1-star inspections with Special Focus status with $97,793 in total fines with 45 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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4-star overall rating with 3-star inspections with $6,512 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Louisville, OH
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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