Cycle 1
Health 2023-11-02 · Fire 2023-11-02
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Mayfield Village, OH
Altercare Of Mayfield Village, Inc
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
290 North Commons Blvd, Mayfield Village, OH
(440) 473-9411
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
Facility snapshot
Beds
52
Certified beds
Average residents
42
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
2003-05-15
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.67
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.24
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.81
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
67%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,823
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.35
Baseline 24.22% · Performance 23.61% · Measure score 0.35 · Achievement 0 · Improvement 0.35
Healthcare-associated infections
0
Baseline 6.93% · Performance 8.73% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.72
Baseline 3.91 hours · Performance 3.85 hours · Measure score 2.72 · Achievement 2.72 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.78% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 115 · Observed rate 7.83% · Lower 95% interval 7.09% |
| Discharge to community | 59.73% |
50.57%
9.2 pts better
|
No Different than the National Rate · Eligible stays 129 · Observed rate 51.94% · Lower 95% interval 49.72% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 101 · Denominator 101 |
| Falls with major injury | 0.99% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 101 |
| Discharge self-care score | 66.18% |
53.69%
12.5 pts better
|
Numerator 45 · Denominator 68 |
| Discharge mobility score | 54.41% |
50.94%
3.5 pts better
|
Numerator 37 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 1% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 100 · Adjusted rate 1.18% |
| Healthcare-associated infections requiring hospitalization | 8.73% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 13.21% · Lower 95% interval 4.77% |
| Staff COVID-19 vaccination coverage | 79.38% |
8.2%
71.2 pts better
|
Numerator 77 · Denominator 97 |
| Staff flu vaccination coverage | 19.23% |
42%
22.8 pts worse
|
Numerator 25 · Denominator 130 |
| Discharge function score | 66.18% |
56.45%
9.7 pts better
|
Numerator 45 · Denominator 68 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 98.36% |
96.28%
2.1 pts better
|
Numerator 60 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 22.41% |
25.2%
2.8 pts worse
|
Numerator 13 · Denominator 58 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
92.4%
5.4 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 95.8% · Q4 95.5% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% |
94.5%
1.9 pts better
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.3%
3.3 pts better
|
3.3%
3.3 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 who have depressive symptoms | 5.2% |
26.1%
20.9 pts better
|
11.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.8% · Q3 5.0% · 4Q avg 5.2% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.2%
1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 8.7% · Q3 4.5% · Q4 4.8% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.4% |
25.4%
23 pts better
|
19.6%
17.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 0.0% · Q4 4.8% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.3% |
11.5%
8.2 pts better
|
16.7%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · 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 need for help with daily activities has increased | 2.4% |
6.2%
3.8 pts better
|
14.9%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.5% · Q4 4.8% · 4Q avg 2.4% · 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 · 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 | 26.9% |
21.7%
5.2 pts worse
|
19.8%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 19.9% · 4Q avg 26.9% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
3.7%
2.1 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 3.3% · Q3 3.1% · Q4 3.7% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.9% |
78.1%
0.8 pts better
|
81.7%
2.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 92.2% · Q3 79.5% · Q4 57.7% · 4Q avg 78.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.4% |
12.5%
5.9 pts worse
|
12.0%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 18.1% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.7% |
75.6%
12.1 pts better
|
79.7%
8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.8% |
25.1%
7.7 pts worse
|
23.9%
8.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.8% · Observed 30.6% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-28 · Fire 2021-06-28
10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-08-01 · Fire 2019-08-01
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-11-02
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-20
F · Potential for more than minimal harm
2021-06-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2021-09-20
F · Potential for more than minimal harm
2021-06-28
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2021-09-20
F · Potential for more than minimal harm
2021-06-28
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-09-20
F · Potential for more than minimal harm
2021-06-28
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-09-20
F · Potential for more than minimal harm
2021-06-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-09-20
E · Potential for more than minimal harm
2021-06-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-09-20
E · Potential for more than minimal harm
2021-06-28
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 2021-09-20
E · Potential for more than minimal harm
2021-06-28
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 2021-09-20
E · Potential for more than minimal harm
2021-06-28
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-09-20
E · Potential for more than minimal harm
2021-06-28
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-09-20
F · Potential for more than minimal harm
2019-08-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-27
F · Potential for more than minimal harm
2019-08-01
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-09-27
F · Potential for more than minimal harm
2019-08-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-27
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-21
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-12-03
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-12-03
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-04-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-01
F · Potential for more than minimal harm
2023-11-02
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-11-20
E · Potential for more than minimal harm
2023-11-02
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-11-20
D · Potential for more than minimal harm
2023-11-02
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-11-20
C · Minimal harm
2023-11-02
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Not marked corrected
D · Potential for more than minimal harm
2023-10-12
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-10-23
D · Potential for more than minimal harm
2023-06-01
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-16
D · Potential for more than minimal harm
2023-03-16
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 2023-04-14
D · Potential for more than minimal harm
2023-03-16
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 2023-04-14
D · Potential for more than minimal harm
2023-03-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-14
D · Potential for more than minimal harm
2023-03-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-14
D · Potential for more than minimal harm
2021-06-28
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-09-20
D · Potential for more than minimal harm
2021-06-28
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 2021-09-20
D · Potential for more than minimal harm
2021-06-28
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2021-09-20
D · Potential for more than minimal harm
2021-06-28
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-09-20
D · Potential for more than minimal harm
2021-06-28
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-09-20
D · Potential for more than minimal harm
2021-06-28
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 2021-09-20
D · Potential for more than minimal harm
2019-08-01
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 2019-09-27
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
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
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Highland Pointe Health & Rehab Center
Highland Heights, OH
2-star overall rating with 2-star inspections with $28,276 in total fines with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Grande Pointe Healthcare Commu
Richmond Heights, OH
2-star overall rating with 2-star inspections with $137,255 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Wickliffe Country Place
Wickliffe, OH
3-star overall rating with 2-star inspections with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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